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, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2023-06-13 |
Last Update Date | 2023-08-28 |