| NPI | 1184456832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM KUTEYI Director 240-467-7561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |