| NPI | 1750915914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA ALISON HEADLEY COPPIN CEO 443-813-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |