| NPI | 1114175387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN LAMONT PURNELL Chief Administrative Officer 410-802-3815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: VA 1223-14-001) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA 1223-14-001) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: VA 1223-14-001) | |
| Enumeration Date | 2008-08-30 |
| Last Update Date | 2010-08-09 |