| NPI | 1154161990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAIWO MATTI Program Administrator 443-525-5808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |