OrganizationActive
Center for Comprehensive Services
NPI 1063723997 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bowie, MD
Provider details
- NPI number
- 1063723997
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mary Rodenberg-Roberts, Vp & Sr Asst General Counsel(952) 836-2234
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Rehabilitation Clinic/Center261QR0400X
Ambulatory Health Care Facilities
Practice location
12305 Welling Ln
Bowie, MD 20715-1251
Phone: (813) 626-1444
Fax: (813) 621-0770
Approximate (ZIP-level) locationGet directions
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Other names (DBA / former)
- Doing business as
- Neurorestorative Maryland
Registry dates
- Enumerated
- 2010-06-25
- Last updated
- 2024-09-16
- Certified
- 2024-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.