| NPI | 1285217844 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | KHADIJA B JALLOH Program Director 240-486-7038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-05-03 |