Organization
AFFECTIONATE ALLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEMOLA STEPHEN AKINROGBE (ADMINISTRATOR)
(410) 525-5285
Entity
Organization
Contact information
Practice address
617 W PATRICK ST STE 243, FREDERICK, MD 21701-4027
(443) 545-6707
(410) 525-5283
Mailing address
617 W PATRICK ST STE 243, FREDERICK, MD 21701-4027
(410) 525-5285
(410) 525-5283
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/14/2023
Last updated
03/15/2024
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