| NPI | 1396216495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH KOMETA NGWAFA Owner 202-904-5237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-10-31 |