NPI | 1629645064 |
---|---|
Entity Type | Organization |
Authorized Contact | ADEOYE ADENIRAN Owner 443-991-2262 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2021-06-04 |
Last Update Date | 2021-06-04 |