| NPI | 1568922623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEMOLA STEPHEN AKINROGBE Administrator 410-525-5285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2024-03-15 |