| NPI | 1992688329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MFORNKEM ASAM EYONG Administrator 240-643-2405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251J00000X Nursing Care |
| 310400000X Assisted Living Facility | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-07-31 |