| NPI | 1104479401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE PELEGRINI Dir Finance 443-864-4027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2020-01-03 |