| NPI | 1083493506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OPEOLU A SANNI Chief Executive Officer 301-675-4048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0801X | |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |