| NPI | 1649028218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIVINE BALIKI DIOH Program Manager 240-330-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |