| NPI | 1578432506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIDIMMA DAISY UCHE CEO 443-514-5145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2025-10-29 |