| 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 |