| NPI | 1205675667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY AMAGHI Program Administrator 240-755-3544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |