| NPI | 1710661459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKEYA M HAWKINS CEO 443-604-0609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2023-08-28 |