| NPI | 1679351423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIM MUHAMMAD Director Of Operations 410-800-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2024-10-07 |