OrganizationActive
Caring Hearts Healthcare Services
NPI 1609507763 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Windsor Mill, MD
Provider details
- NPI number
- 1609507763
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Queen Audifferen, Ceo(443) 985-8574
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
3102 Gartside Ave
Windsor Mill, MD 21244-2820
Phone: (443) 985-8574
Approximate (ZIP-level) locationGet directions
Mailing address
3102 Gartside Ave
Windsor Mill, MD 21244-2820
Registry dates
- Enumerated
- 2022-06-20
- Last updated
- 2024-05-28
- Certified
- 2024-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.