| NPI | 1821312182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN LAMONT PURNELL Chief Administrative Officer 410-802-3815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 122314001) |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2011-04-29 |