NPI 1417489295

Seppk

Organisation Physical Disabilities Residential Treatment Facility Sykesville, MD

Practice location

Address: 1224 W Old Liberty Rd, Sykesville, MD 21784-9327
Phone: (410) 875-7284
Fax: (410) 875-7284

Authorised official

Name: Deuk B Kong
Title: Therapsit
Phone: (410) 875-7284

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence M05267 (MD)

Other Residential Treatment Facility, Physical Disabilities providers in Maryland →

Registry record

NPI: 1417489295
Entity type: Organization
NPI issued: 30 Mar 2017
Record last updated: 30 Mar 2017

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.