| NPI | 1063396588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OGECHUKWU IGBO Director 301-272-5016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-06 |