| NPI | 1639775000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERUBO HAPPINESS KINARO Administrator/Manager 410-660-5117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-09 |