| NPI | 1205471034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKITA DAWN BELL Director 410-652-9095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-18 |