| NPI | 1376372540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ADEBOWALE OGIDIOLU Executive Director 443-985-5493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |