| NPI | 1487435863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPA GILL Owner 703-209-5160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |