| NPI | 1114407749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINE V CHASE CEO 410-982-4976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |