| NPI | 1396688271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDIA CORBIN Director 443-537-5246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2026-04-14 |
| Last Update Date | 2026-04-14 |