Organization
CENTER FOR COMMUNITY INCLUSION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON M INDOURSKY (EXECUTIVE DIRECTOR)
(443) 500-1994
Entity
Organization
Contact information
Practice address
9711 MONROE ST, COCKEYSVILLE, MD 21030-5038
(443) 500-1994
(410) 220-0655
Mailing address
9711 MONROE ST, COCKEYSVILLE, MD 21030-5038
(443) 500-1994
(410) 220-0655
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/18/2018
Last updated
01/07/2023
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