| NPI | 1811766470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN AYABA CEO 202-704-7628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-12-25 |
| Last Update Date | 2024-05-02 |