NPI | 1386220226 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWIN CHUKU Chief Administrative Officer 410-618-6779 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2021-03-22 |
Last Update Date | 2021-03-22 |