| NPI | 1720945041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY DOHERTY Executive Director 443-240-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2026-01-08 |
| Last Update Date | 2026-01-08 |