NPI | 1245963636 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONIA SOYOYE Executive Director 443-850-4563 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2022-07-05 |
Last Update Date | 2022-07-05 |