IndividualActive
Adeoye Adeniran
NPI 1609641141 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Frederick, MD
Provider details
- NPI number
- 1609641141
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344
Phone: (443) 991-2262
Approximate (ZIP-level) locationGet directions
Mailing address
5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344
Registry dates
- Enumerated
- 2023-11-15
- Last updated
- 2023-11-15
- Certified
- 2023-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.