Individual
WALTER OBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 BROOKSIDE OAKS, OWINGS MILLS, MD 21117-5168
(443) 722-1360
Mailing address
4201 BROOKSIDE OAKS, OWINGS MILLS, MD 21117-5168
(443) 722-1360
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MD
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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