NPI 1528934643

Impact Support Services

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

Practice location

Address: 4407 Forbes Blvd, Lanham, MD 20706-4328
Phone: (202) 744-7370

Authorised official

Name: Obinna Uzomah
Title: Administrator
Phone: (202) 744-7370

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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

Registry record

NPI: 1528934643
Entity type: Organization
NPI issued: 15 Oct 2025
Record last updated: 15 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.