| NPI | 1164760930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATANYA ANNETTE BRYANT CEO 410-963-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |