| NPI | 1124821004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNENNA NZELIBE CEO 443-622-5262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X Community/Behavioral Health | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-03-28 |