| NPI | 1629905575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE SIMONE MURDOCK-BARR Manager 240-681-5619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2026-05-05 |
| Last Update Date | 2026-05-05 |