| NPI | 1174478978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE SINGLE Owner 443-201-4049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-02-27 |
| Last Update Date | 2026-02-27 |