| NPI | 1225221658 |
|---|---|
| Doing Business As | SHADY PINES ADULT DAY SERVICES |
| Entity Type | Organization |
| Authorized Contact | FREDDY L. MITCHELL Executive Director 410-749-1142 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MD 22001) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |