Organization
A BROAD PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABIMBOLA RUNSEWE DNP (CLINICAL DIRECTOR)
(443) 272-7858
Entity
Organization
Contact information
Practice address
3608 MILFORD MILL RD, WINDSOR MILL, MD 21244-3328
(443) 272-7858
(443) 405-7137
Mailing address
3608 MILFORD MILL RD, WINDSOR MILL, MD 21244-3328
(443) 272-7858
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
09/11/2025
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