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Organization

FIRST LIGHT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OLUWASEUN AKINDE (DIRECTOR)
(410) 337-2490
Entity
Organization

Contact information

Practice address
1045 TAYLOR AVE, TOWSON, MD 21286
(410) 337-2490
Mailing address
1045 TAYLOR AVE, TOWSON, MD 21286
(410) 337-2490

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
MD

Other

Enumeration date
10/10/2011
Last updated
10/10/2011
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