| NPI | 1245693464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH F MUBANG President 202-340-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2022-03-28 |