NPI | 1477435733 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE IDANAN Administration Manager 443-800-3188 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101YS0200X Counselor, School |
251E00000X Home Health | |
253J00000X Foster Care Agency | |
Enumeration Date | 2025-07-25 |
Last Update Date | 2025-07-29 |