| NPI | 1033893912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER TEKUNANG D Irector 443-468-5179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |