| NPI | 1487248845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA FABULUJE Executive Program Dir/Administrator 202-717-2541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 385H00000X Respite Care | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2025-06-09 |