OrganizationActive
Coreridge Health Inc
NPI 1841013877 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Owings Mills, MD
Provider details
- NPI number
- 1841013877
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gbemisola Tegbe, Executive Director(443) 538-3964
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
843 Crystal Palace Ct
Owings Mills, MD 21117-2257
Phone: (443) 538-3964
Approximate (ZIP-level) locationGet directions
Mailing address
10807 Falls Rd Unit 255
Brooklandville, MD 21022-7511
Registry dates
- Enumerated
- 2024-11-07
- Last updated
- 2024-11-07
- Certified
- 2024-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.