| 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 |