| NPI | 1063119006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYA KIARA HOLT CEO 410-804-3587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-02-09 |