| NPI | 1538953328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRITZ EBULOH CEO 240-716-4638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |