| NPI | 1851930382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN BUTLER Hr Consultant/Contractor 410-782-1761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2020-01-01 |
| Last Update Date | 2020-01-01 |