NPI | 1750966628 |
---|---|
Doing Business As | SUPERIOR CARE & SUPPORT, LLC |
Entity Type | Organization |
Authorized Contact | MUSA S BANGURA Program Director 571-247-6503 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2021-03-12 |
Last Update Date | 2021-03-12 |