OrganizationActive
Community Care Developmental Services, LLC
NPI 1831850601 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Laurel, MD
Provider details
- NPI number
- 1831850601
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- January Levere, Ceo(443) 418-8669
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
8101 Sandy Spring Rd Ste 250m
Laurel, MD 20707-3527
Phone: (443) 418-8669
Approximate (ZIP-level) locationGet directions
Mailing address
8101 Sandy Spring Rd Ste 250m
Laurel, MD 20707-3527
Registry dates
- Enumerated
- 2022-01-04
- Last updated
- 2022-01-04
- Certified
- 2022-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.