NPI 1043195712

Damon Penn

Practitioner Intellectual and/or Developmental Disabilities Residential Treatment Facility Owings Mill, MD

Practice location

Address: 9438 Adelaide Lane [email protected], Owings Mill, MD 21117
Phone: (410) 458-8427

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: 1043195712
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2025
Record last updated: 11 Aug 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.