| NPI | 1184447260 |
|---|---|
| Doing Business As | MITA COOKE HEALTHCARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | BOSUN OLOKO CEO 301-768-9607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |