| NPI | 1932042140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAJUMOKE ORIYOMI OGUNTOLA Program Director 443-529-4960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2026-04-13 |
| Last Update Date | 2026-04-13 |