OrganizationActive
Dynamic Supports , LLC
NPI 1043808272 · Developmental Disabilities Clinic/Center · Upper Marlboro, MD
Provider details
- NPI number
- 1043808272
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Oluseye Jeje, Ceo
Practice location
9510 Sycamore Grv
Upper Marlboro, MD 20772-2698
Phone: (217) 691-8938
Mailing address
9510 Sycamore Grv
Upper Marlboro, MD 20772-2698
Registry dates
- Enumerated
- 2021-01-04
- Last updated
- 2022-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.