| NPI | 1235020306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE A EYONG CEO 443-629-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-15 |