| NPI | 1578182408 |
|---|---|
| Doing Business As | SPIRIT CLUB |
| Entity Type | Organization |
| Authorized Contact | JARED CINER Founding Director 301-933-3722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 133N00000X Nutritionist |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-06-03 |