| NPI | 1437976677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONITA NKANG Owner 240-899-2471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center Community Health | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |