NPI | 1174307219 |
---|---|
Entity Type | Organization |
Authorized Contact | GABRIEL TEMITOPE OBIDIRAN CEO 443-653-2520 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2023-08-21 |
Last Update Date | 2023-08-21 |