| NPI | 1649433756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE JAMES BANKS Occupational Therapist 443-621-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 05877) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MD 05877) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |