| NPI | 1588163562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE TYSON-FERGUSON Chief Executive Officer 443-824-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-03-17 |