Organization
DEVELOPMENTAL SUPPORTS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUSEGUN SOFOWOTE (EXECUTIVE DIRECTOR)
(443) 527-9261
Entity
Organization
Contact information
Practice address
7105 RUDISILL CT APT 1A, WINDSOR MILL, MD 21244-6533
(443) 527-9261
Mailing address
7105 RUDISILL CT APT 1A, WINDSOR MILL, MD 21244-6533
(443) 527-9261
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
07/19/2021
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