| NPI | 1053080432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSIBAU OMOTOSHO ADEBAYO Representative 410-718-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |