| NPI | 1720549645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONNE COLEMAN Owner 443-501-9362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2020-05-19 |