| NPI | 1467878462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL D WEBER CEO 443-625-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 4607) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: MD 4607) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MD 4607) | |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |