| NPI | 1023861770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAMA MAGONA President 443-205-6220 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |