| NPI | 1427786359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYOMIKUN FABUNMI Program Administrator 240-879-7479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-09 |