| NPI | 1326602988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEETA NACOLE BRANCH CEO 443-546-8253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2021-04-14 |