| NPI | 1417704313 |
|---|---|
| Doing Business As | JCCA |
| Entity Type | Organization |
| Authorized Contact | JOHN MCDONALD Residential Youth Counselor 443-983-5359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-04-30 |