| NPI | 1902556681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH F MUBANG Administrator 240-463-4219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-03-25 |