| NPI | 1518716117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMPSON MAYOWA CEO 240-602-3583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |