| NPI | 1730905670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORAL V ROSS CEO 410-491-1917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 310400000X Assisted Living Facility | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |