| NPI | 1275368680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTIA BEAN Owner 443-793-8485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QA0005X Clinic/Center, Ambulatory Family Planning Facility | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 273R00000X Psychiatric Unit | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |