| NPI | 1053926352 |
|---|---|
| Doing Business As | DDA PROVIDER |
| Entity Type | Organization |
| Authorized Contact | SALIEU SAMURA CEO 301-401-4360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2020-09-13 |
| Last Update Date | 2020-10-23 |