OrganizationActive
Elevate Premier Support Inc
NPI 1134909609 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Eldersburg, MD
Provider details
- NPI number
- 1134909609
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Morufu Fagbenro, Director(443) 627-1654
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1332 Londontown Blvd Ste 115h
Eldersburg, MD 21784-6587
Phone: (443) 627-1654
Approximate (ZIP-level) locationGet directions
Mailing address
1332 Londontown Blvd Ste 115h
Eldersburg, MD 21784-6587
Registry dates
- Enumerated
- 2023-10-03
- Last updated
- 2023-10-03
- Certified
- 2023-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.