NPI 1720584642

Impact Support Services, INC.

Organisation Developmentally Disabled Services Day Training Agency Lanham, MD

Practice location

Address: 4500 Forbes Blvd STE 200-E, Lanham, MD 20706-6312
Phone: (203) 675-3225
Mailing address: 10602 Heather Glen Way, Bowie, MD 20720-4279

Authorised official

Name: Amara Uzomah
Title: Executive Director
Phone: (203) 675-3225

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Maryland →

Registry record

NPI: 1720584642
Entity type: Organization
NPI issued: 30 Mar 2018
Record last updated: 30 Mar 2018

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.