| NPI | 1063107662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M. MOFOR CEO 240-463-4219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-10 |