Organization
RENAISSANCE CARE AND SUPPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKILLAH PONE (DIRECTOR)
(410) 982-5067
Entity
Organization
Contact information
Practice address
36 MAYBIN CIR, OWINGS MILLS, MD 21117-1808
(410) 982-5067
Mailing address
36 MAYBIN CIR, OWINGS MILLS, MD 21117-1808
(410) 982-5067
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/08/2021
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