| NPI | 1063263473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRICIA D JONES Chief Executive Officer/President 301-613-1732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251E00000X Home Health | |
| 251K00000X Public Health or Welfare | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0100X Clinic/Center, Health Services | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |