| NPI | 1679351423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SULUB ADAN Director Of Operations 202-550-4463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2024-03-26 |