| NPI | 1407404429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLY ANYIKO Executive Director 410-844-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |