| NPI | 1598408619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCESS ISOKPUNWU Program Director 410-496-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-04-16 |
| Last Update Date | 2022-04-16 |