NPI 1386879955
11714 Tuscany Drive
Practice location
- Address
- 11714 Tuscany Dr, Laurel, MD 20708-2841
- Phone
- (301) 332-7222
Authorised official
- Name
- Ngozi Maryann Okudoh
- Title
- Administrator
- Phone
- (301) 332-7222
Registered specialties (2)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Day Training/Habilitation Specialist
Registry record
- NPI
- 1386879955
- Entity type
- Organization
- NPI issued
- 26 May 2009
- Record last updated
- 26 May 2009
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.