| 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, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-07-19 |