| NPI | 1003278441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAMOUS IWINOSA OSASUYI Executive Director 443-226-6339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |