Community Care Developmental Services, LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Laurel, MD. Organization (NPI-2).
NPI number1831850601
StatusActive
Last updated in NPPESJan 4, 2022
Details
- NPI
- 1831850601
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Care Developmental Services, LLC
- Organization subpart
- No
- Enumeration date
- Jan 4, 2022
- Certification date
- Jan 4, 2022
- Last updated
- Jan 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
8101 Sandy Spring Rd Ste 250mLaurel, MD 20707-3527
Phone 443-418-8669
Mailing address
8101 Sandy Spring Rd Ste 250mLaurel, MD 20707-3527
Phone 443-418-8669
Authorized official
January Levere
Ceo
4434188669
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