| NPI | 1720842644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORIE JOHNSON Chariwoman / Member 240-319-1671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 177F00000X Lodging | |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 372600000X Adult Companion | |
| 376G00000X Nursing Home Administrator | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-03-22 |