| NPI | 1710212543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHON TIMOTHY SMITH Vice President 301-821-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MD 16-002) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2019-06-28 |