| NPI | 1770298960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFEMI SHODEKE Executive Director 443-629-9328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2024-03-20 |