| NPI | 1366948333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALPHA KAMARA Administrator 301-732-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |