| NPI | 1528588076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVO NGOSONG Administrator 703-910-7081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251B00000X Case Management |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-27 |