| NPI | 1427800622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE LYRIC COLES Director Of Nursing 301-478-4427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-05-06 |