NPI 1609523885

Wanda Pulliam

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Baltimore, MD

Practice location

Address: 843 N Augusta Ave, Baltimore, MD 21229-1823
Phone: (443) 829-4562

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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

Registry record

NPI: 1609523885
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Mar 2022
Record last updated: 7 Mar 2022

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.