| NPI | 1245955350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE SHEDRICK Owner 443-509-2159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2024-01-26 |