person
Walter Obi
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Owings Mills, Maryland
NPI 1003459777

Walter Obi is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Owings Mills, MD. Walter Obi practices in Owings Mills, MD. The NPI Number for Walter Obi is 1003459777 and holds a License No. (Maryland).

The current practice location address for Walter Obi is 4201 Brookside Oaks, Owings Mills, MD and can be reached out via phone at 443-722-1360.

Location: 4201 Brookside Oaks, Owings Mills, MD, 21117-5168
person
Provider Profile Details
NPI Number
1003459777
Provider Name
Walter Obi
Credential
Provider Entity Type
Individual
Gender
Male
Address
4201 Brookside Oaks, Owings Mills, MD, 21117-5168
Phone Number
443-722-1360
Fax Number
Provider Enumeration Date
10/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4201 Brookside Oaks
City
State
Zip
21117-5168
Phone Number
443-722-1360
Fax Number
person
Provider Business Mailing Address Details
Address
4201 Brookside Oaks
City
State
Zip
21117-5168
Phone Number
443-722-1360
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
(Maryland)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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