| NPI | 1114711058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIPHER I NAZARETH CEO 301-204-6285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106E00000X Assistant Behavior Analyst | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-25 |