Individual provider · Type 1 NPI
Joia Hairston
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Accokeek, MD
Practice location
16607 Mannington Rd
Accokeek, MD 20607-3479
Mailing address
17350 State Highway 249 Ste 220
Houston, TX 77064-1132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1629844337
Joia Hairston's National Provider Identifier is 1629844337, issued on Dec 4, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Accokeek, MD. The record was last updated on Dec 4, 2023.