| NPI | 1366084972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA HEADLEY COPPIN CEO 443-813-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2025-02-25 |