| NPI | 1548150154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LONG Program Administrator 202-413-9832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |