| NPI | 1922503382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UGOCHI NWODIM Executive Director 443-985-6883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |