| NPI | 1770018038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHEA BEAUFORD Owner 443-225-9046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: MD 41878) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: MD 41878) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |