Axis Support Services
NPI #1366074312 in Middle River, Maryland
Provider Information
- NPI Number
- 1366074312
- Entity Type
- Organization
- Organization Name
- Axis Support Services
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Feb 7, 2020
- Last Updated
- Feb 7, 2020
Practice Location
- Address
- 9721 LUGUNA RD
- City
- Middle River
- State
- Maryland
- ZIP Code
- 21220-3769
- Phone
- (443) 226-3289
Authorized Official
- Name
- MR. OLABODE G LONGE, CISA, CA
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (109) 298-4494
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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