| NPI | 1427827872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDICAEL KOANANG Program Manager 301-825-3098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |