| NPI | 1487510897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MACK Owner 410-497-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0100X Clinic/Center, Health Services | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-12-30 |
| Last Update Date | 2026-08-27 |