| NPI | 1598587974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONITA NKANG Owner 240-899-2471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 3747P1801X Technician, Personal Care Attendant | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2025-08-13 |