| NPI | 1790469021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMABEL AWA CEO 240-604-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-06-15 |