Organization
HERITAGE OF PISON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLADOTUN OLAREWAJU OLUWAGBOLA (CEO)
(443) 432-8470
Entity
Organization
Contact information
Practice address
909 BALTIMORE BLVD, WESTMINSTER, MD 21157-7064
(443) 432-8470
Mailing address
909 BALTIMORE BLVD, WESTMINSTER, MD 21157-7064
(443) 432-8470
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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