OrganizationActive
Coadvocate Specialists, Inc
NPI 1457213100 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Catonsville, MD
Provider details
- NPI number
- 1457213100
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Latia Obanner, Executive Director(443) 383-3913
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1055 Ingleside Ave Ste 100
Catonsville, MD 21228-1337
Phone: (443) 383-3913
Approximate (ZIP-level) locationGet directions
Mailing address
1055 Ingleside Ave Ste 100
Catonsville, MD 21228-1337
Registry dates
- Enumerated
- 2025-12-02
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.