| NPI | 1497342539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON WORLANYO ODUM CEO 571-409-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QA0600X Clinic/Center Adult Day Care | |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2020-12-23 |