| NPI | 1841853264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX OWOLABI CEO 410-800-2502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |