Developmental Supports Center
NPI #1063087930 in Windsor Mill, Maryland
Provider Information
- NPI Number
- 1063087930
- Entity Type
- Organization
- Organization Name
- Developmental Supports Center
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- May 24, 2021
- Last Updated
- Jul 19, 2021
Practice Location
- Address
- 7105 RUDISILL CT APT 1A
- City
- Windsor Mill
- State
- Maryland
- ZIP Code
- 21244-6533
- Phone
- (443) 527-9261
Authorized Official
- Name
- OLUSEGUN SOFOWOTE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (443) 527-9261
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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