OrganizationActive
Axis Support Services
NPI 1366074312 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Middle River, MD
Provider details
- NPI number
- 1366074312
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Olabode Longe, Chief Executive Officer
Mailing address
9721 Luguna Rd
Middle River, MD 21220-3769
Registry dates
- Enumerated
- 2020-02-07
- Last updated
- 2020-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.