Individual
LARRY OBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3711 64TH AVE, HYATTSVILLE, MD 20785-1015
(301) 326-8780
Mailing address
3711 64TH AVE, HYATTSVILLE, MD 20785-1015
(301) 326-8780
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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