| NPI | 1629677059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN PIERRE D MONDO MBONGO Director 443-466-1476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |