Organization
ATAAM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MODUPE GIWA (ADINISTRATOR)
(410) 374-7748
Entity
Organization
Contact information
Practice address
1515 MARTIN BLVD STE 208, MIDDLE RIVER, MD 21220-4103
(410) 374-7748
(443) 559-6195
Mailing address
1009 WAMPLER RD, MIDDLE RIVER, MD 21220-1816
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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