| NPI | 1740177245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE DONALDSON Chief Operating Officer 240-544-5463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |