Organization
CORERIDGE HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GBEMISOLA TEGBE (EXECUTIVE DIRECTOR)
(443) 538-3964
Entity
Organization
Contact information
Practice address
843 CRYSTAL PALACE CT, OWINGS MILLS, MD 21117-2257
(443) 538-3964
Mailing address
10807 FALLS RD UNIT 255, BROOKLANDVILLE, MD 21022-7511
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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