| NPI | 1538029574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER AGBOR Community Liaison 301-768-6345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2025-11-13 |
| Last Update Date | 2025-11-13 |