| NPI | 1407540164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGE GOUDOU Owner 240-687-4019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2024-04-01 |