| NPI | 1972978369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THADDIOUS OSBY CEO 571-919-5344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2023-09-29 |