; NPI #1629844337

Contact Information

JOIA HAIRSTON

16607 MANNINGTON RD
ACCOKEEK, MD 20607-3479

Phone: 682-704-0233
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X

Indicates primary specialty

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NPI Profile & details for

NPI #	`1629844337`
Entity	Organization
Organization subpart ¹	Not specified
Enumeration date	12/04/2023
Last updated	12/04/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Contact Information

Specialty

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Residential Treatment Facility, Emotionally Disturbed Children

NPI Profile & details for

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