| NPI | 1235378399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC ABIOYE OLASUPO CEO 443-708-4854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MD 4080) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: MD 409426300) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2009-10-22 |