| NPI | 1306545231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT S CHIRWA CEO/Director 443-622-9521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-02-28 |