| NPI | 1417665217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE KLEDO CEO 240-491-1087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-10 |