NPI | 1922161587 |
---|---|
Entity Type | Organization |
Authorized Contact | DUANE BRICKHOUSE Controller 410-910-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251S00000X |
251X00000X | |
251C00000X Day Training, Developmentally Disabled Services | |
3747P1801X Technician, Personal Care Attendant | |
171M00000X Case Manager/Care Coordinator | |
322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2006-12-18 |
Last Update Date | 2007-12-03 |