| NPI | 1447898648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH NGUENEBA Medical Records Custodian 240-229-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-25 |