| NPI | 1508420860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BRUCE Director 443-762-7864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |