| NPI | 1679727994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR L. BONNER Executive Director 301-856-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: MD 15784) |
| Additional Taxonomies | 261QA0600X Clinic/Center Adult Day Care (Licence: MD 11714) |
| 261QA0600X Clinic/Center Adult Day Care | |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |