IndividualActive
Larry Obi
NPI 1356905707 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Hyattsville, MD
Provider details
- NPI number
- 1356905707
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
3711 64th Ave
Hyattsville, MD 20785-1015
Phone: (301) 326-8780
Approximate (ZIP-level) locationGet directions
Mailing address
3711 64th Ave
Hyattsville, MD 20785-1015
Registry dates
- Enumerated
- 2019-04-30
- Last updated
- 2019-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.