| NPI | 1033833116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLASHADE B OLASIMBO Director 410-521-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |