| NPI | 1225540214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEFOLAJU OKETOKUN Medical Director 301-832-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: DC MD038372) |
| Additional Taxonomies | 251B00000X Case Management (Licence: DC MD038372) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: DC MD038372) | |
| 253Z00000X In Home Supportive Care (Licence: DC MD038372) | |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: DC MD038372) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DC MD038372) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: DC MD038372) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: DC MD038372) | |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |