NPI | 1063087930 |
---|---|
Entity Type | Organization |
Authorized Contact | OLUSEGUN SOFOWOTE Executive Director 443-527-9261 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2021-05-24 |
Last Update Date | 2021-07-19 |