NPI | 1194921288 |
---|---|
Entity Type | Organization |
Authorized Contact | DUANE BRICKHOUSE Controller 410-910-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2007-06-25 |
Last Update Date | 2020-08-22 |