| NPI | 1093394090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA MOSES President 410-292-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-08-12 |