| NPI | 1235601394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH DIBONGE Administrator 240-506-1728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |