NPI | 1881335321 |
---|---|
Former Legal Business Name | CRYSTAL CARE AGENCY INC |
Entity Type | Organization |
Authorized Contact | FOLASADE MORADEYO Director Of Nursing 202-203-9064 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2022-04-06 |
Last Update Date | 2022-08-01 |