OrganizationActive
Compassion Community Services, Inc
NPI 1215732771 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gaithersburg, MD
Provider details
- NPI number
- 1215732771
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Clifford Kibang, Ceo(240) 413-1428
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Residential Treatment Facilities
Practice location
963 Russell Ave Ste D963
Gaithersburg, MD 20879-3287
Phone: (240) 413-1428
Fax: (240) 386-1197
Approximate (ZIP-level) locationGet directions
Mailing address
963 Russell Ave Ste D
Gaithersburg, MD 20879-3287
Other names (DBA / former)
- Other name
- N/A
- Other name
- None
Additional practice locations (1)
- 963 Russell Ave Ste DGaithersburg, MD 20879-3287Phone: (240) 413-1428Fax: (240) 386-1197
Registry dates
- Enumerated
- 2025-02-18
- Last updated
- 2025-02-18
- Certified
- 2025-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.