Organization · Type 2 NPI

Center for Comprehensive Services

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bowie, MD

NPI number 1063723997 Active

Practice location

12305 Welling Ln
Bowie, MD 20715-1251

Call (813) 626-1444 Map

Fax (813) 621-0770

Mailing address

6600 France Ave S Ste 350
Edina, MN 55435-1810

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Rehabilitation Clinic/Center	261QR0400X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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NPI record

NPI: 1063723997
Entity type: Organization (Type 2)
Issued: Jun 25, 2010
Last updated: Oct 19, 2026
Status: Active

Other names

<unavail>
Neurorestorative Maryland · doing business as
Neurorestorative Maryland · doing business as
Neurorestorative Academy · doing business as

Authorized official

Mary Patricia Rodenberg-Roberts
Chief Regulatory Officer SR Asst GC
(952) 836-2234

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063723997

Center for Comprehensive Services's National Provider Identifier is 1063723997, issued on Jun 25, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Bowie, MD. The record was last updated on Oct 19, 2026.