| NPI | 1437663796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYORINDE OLADUNNI Owner 443-870-0272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-11-24 |
| Last Update Date | 2017-11-24 |