Organization
GOLDEN PATH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WURAOLA RUKAYAT POPOOLA (CHIEF EXECUTIVE OFFICER)
(443) 248-2808
Entity
Organization
Contact information
Practice address
3718 TALL GRASS CT, RANDALLSTOWN, MD 21133-2824
(443) 248-2808
Mailing address
3718 TALL GRASS CT, RANDALLSTOWN, MD 21133-2824
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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