NPI | 1508980251 |
---|---|
Entity Type | Organization |
Authorized Contact | DERRICK A. BOONE President & CEO 410-247-2770 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MD 03-049) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2009-05-13 |