| NPI | 1073967576 |
|---|---|
| Other Name | BETTY DARE |
| Entity Type | Organization |
| Authorized Contact | NAUGLE HOPE DARE Nonemployee Disabled Caretaker Rent 443-239-6277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MD D60062231336) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: MD D60062231336) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |