| NPI | 1063056216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLASHADE DIPE CEO 443-653-6186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2025-10-03 |