| NPI | 1063175883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN JOY ELLIS Owner 410-924-4897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |