| NPI | 1306348727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA ALANE GRAHAM Executive Director 301-306-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |