| NPI | 1619696424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC ANKOMAH President 703-991-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2022-08-24 |