NPI 1063056216

Supreme Support System INC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Towson, MD

Practice location

Address: 920 Providence Rd STE 203, Towson, MD 21286-2977
Phone: (443) 653-6186
Fax: (410) 929-8990

Authorised official

Name: Folashade Dipe
Title: Ceo
Phone: (443) 653-6186

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1063056216
Entity type: Organization
NPI issued: 31 Oct 2019
Record last updated: 3 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.