| NPI | 1811887201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFUETNGU AMINKENG Program Manager 301-892-0887 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |