| NPI | 1679262810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS BROADDUS CEO 301-357-0038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-04 |