| NPI | 1306339346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADE PARKER CEO 443-922-5531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X | |
| 251S00000X Community/Behavioral Health | |
| 251X00000X Supports Brokerage | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |