| NPI | 1265290712 |
|---|---|
| Other Name | CCC HOMES |
| Entity Type | Organization |
| Authorized Contact | ADEGBENGA BENJAMIN KILADEJO Manager 240-416-1579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |