| NPI | 1053289801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEYEMI SAMUEL ALABI President 443-876-2642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-10-24 |
| Last Update Date | 2025-10-24 |