Larry Obi

NPI #1356905707 in Hyattsville, Maryland

Provider Information

NPI Number: 1356905707
Entity Type: Individual
Name: Larry Obi
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 30, 2019
Last Updated: Apr 30, 2019

Practice Location

Address: 3711 64TH AVE
City: Hyattsville
State: Maryland
ZIP Code: 20785-1015
Phone: (301) 326-8780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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