| NPI | 1841465028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN LAMONT PURNELL Director 410-802-3815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MD DDA 20648-07) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |