| NPI | 1427869866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS MOTTON Program Director 443-473-9773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |