| NPI | 1760293690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERUBO HAPPINESS NYACHIEO Director 410-660-5117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-01-20 |