| NPI | 1588394308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITALIS OJIEGBE Administrator 202-658-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |