Organization
VESTED OPTIMIUM COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANY STEVENS (CEO)
(410) 913-3122
Entity
Organization
Contact information
Practice address
8775 M- CENTRE PARK DRIVE, # 515, COLUMBIA, MD 21045
(410) 913-3122
Mailing address
8775 M- CENTRE PARK DRIVE, # 515, COLUMBIA, MD 21045
(410) 913-3122
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
02/04/2008
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