| NPI | 1023995313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HABTAMU TIGABU CEO 240-480-2817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 172V00000X Community Health Worker | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |