| NPI | 1376268870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITZA JENKINS Executive Director 410-585-7189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2022-10-06 |