| 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 |