| NPI | 1841923950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE COIRO Partner 443-564-5016 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-06 |