| NPI | 1447035092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WAMSLEY Executive Director 410-884-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |