| NPI | 1023506144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINE IRELAND Executive Director 410-778-7303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: MD DD0054) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MD DD0054) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MD DD0054) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: MD DD0054) | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |