| NPI | 1295598704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENICIA WASHINGTON Owner 443-531-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-10-08 |