| NPI | 1700652039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERTRUDE NJIDEKA NWOKORIE Program Manager 240-462-0514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2024-11-14 |