| NPI | 1740777861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI BUTLER CEO 410-702-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2021-08-13 |