NPI | 1063390979 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACE OJO CEO 443-527-7268 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 314000000X Skilled Nursing Facility |
251B00000X Case Management | |
251S00000X Community/Behavioral Health | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2025-08-27 |
Last Update Date | 2025-08-27 |