| NPI | 1467788612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAIAH A TEASLEY President 301-585-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2020-01-23 |