| NPI | 1558116566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDOWU AKINWUNTAN President/Director 443-800-3188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X |
| 261QC1500X Clinic/Center, Community Health | |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |