| NPI | 1437973310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GBENGA OBAFEMI Director 443-433-2943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-08 |