| NPI | 1104485267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EPHRAIM AKIN MAKINDE CEO 240-421-1251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 261QM0801X | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 251C00000X | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |