OrganizationActive
Crest Manor Healthcare Services Inc
NPI 1790349975 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Catonsville, MD
Provider details
- NPI number
- 1790349975
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Oluwatosin Adekoya, Chief Executive Officer (ceo)(443) 690-5792
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
14 Crooked Willow Ct
Catonsville, MD 21228-2417
Phone: (410) 788-0046
Fax: (410) 788-0046
Approximate (ZIP-level) locationGet directions
Mailing address
14 Crooked Willow Ct
Catonsville, MD 21228-2417
Registry dates
- Enumerated
- 2019-04-23
- Last updated
- 2019-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.