| NPI | 1609209634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN FELIX NYAMBIO CEO 301-332-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MI AS820338244) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MI AS820338244) |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS820338244) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS820338244) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS820338244) | |
| 385H00000X Respite Care (Licence: MI AS820338244) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: MI AS820338244) | |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2017-12-22 |