NPI | 1790214831 |
---|---|
Entity Type | Organization |
Authorized Contact | FATOU CEESAY President 703-865-9467 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
385H00000X Respite Care | |
Enumeration Date | 2017-06-11 |
Last Update Date | 2017-06-11 |