Organization
KJT SUPPORT SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NNENNA NZELIBE PHARMD (CEO)
(443) 622-5262
Entity
Organization
Contact information
Practice address
2532 ASHBROOK DR, ELLICOTT CITY, MD 21042-1755
(443) 622-5262
Mailing address
2532 ASHBROOK DR, ELLICOTT CITY, MD 21042-1755
(443) 622-5262
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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