Organization
M AND T DEVELOPMENTAL SUPPORT OF MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA JENKINS (EXECUTIVE DIRECTOR)
(410) 585-7189
Entity
Organization
Contact information
Practice address
9200 GROVETON CIR APT 303, OWINGS MILLS, MD 21117-8305
(410) 585-7189
Mailing address
9200 GROVETON CIR APT 303, OWINGS MILLS, MD 21117-8305
(410) 585-7189
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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