| NPI | 1700602729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAY EJIRO AGOREYO OMOIJUANFO Np 410-522-8941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-12-22 |