| NPI | 1750829362 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | SHAUNESE TAYLOR Owner/Program Director 443-468-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-08 |