| NPI | 1083893481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA C EVERETT-BLAKE CEO 301-257-7862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |