| NPI | 1821845678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ESTRELLA CEO 443-739-2857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |