NPI 1063087930

Developmental Supports Center

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Windsor Mill, MD

Practice location

Address: 7105 Rudisill CT APT 1a, Windsor Mill, MD 21244-6533
Phone: (443) 527-9261

Authorised official

Name: Olusegun Sofowote
Title: Executive Director
Phone: (443) 527-9261

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Maryland →

Registry record

NPI: 1063087930
Entity type: Organization
NPI issued: 24 May 2021
Record last updated: 19 Jul 2021

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.