OrganizationActive
Dynamic Health System
NPI 1134722218 · Mental Illness Community Based Residential Treatment Facility · Baltimore, MD
Provider details
- NPI number
- 1134722218
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ahmed Anibaba, Ceo(443) 708-2598
Specialties & taxonomies
Residential Treatment Facilities
Practice location
2628 Garrett Ave
Baltimore, MD 21218-4834
Phone: (410) 708-2598
Approximate (ZIP-level) locationGet directions
Mailing address
200 Toddson Ln
Owings Mills, MD 21117-5053
Registry dates
- Enumerated
- 2020-11-19
- Last updated
- 2021-12-03
- Certified
- 2021-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.