OrganizationActive
Impact Support Services
NPI 1528934643 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Lanham, MD
Provider details
- NPI number
- 1528934643
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Obinna Uzomah, Administrator(202) 744-7370
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4407 Forbes Blvd
Lanham, MD 20706-4328
Phone: (202) 744-7370
Approximate (ZIP-level) locationGet directions
Mailing address
4407 Forbes Blvd
Lanham, MD 20706-4328
Registry dates
- Enumerated
- 2025-10-15
- Last updated
- 2025-10-15
- Certified
- 2025-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.