| NPI | 1770460859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COMFORT MFOATOW BANYUPE Administrator 301-326-6249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |