| NPI | 1235875014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIVINE NJODZEKA CEO 301-332-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2023-03-29 |