Organization
WEST HOUSE SOBER LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA CARDOZA (OWNER/DIRECTOR)
(240) 583-7003
Entity
Organization
Contact information
Practice address
1649 POPLAR GROVE ST, BALTIMORE, MD 21216-3512
(240) 583-7003
Mailing address
5500 QUINCY ST, HYATTSVILLE, MD 20784-1110
(240) 583-7003
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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