Organization · Type 2 NPI

Revitalize Support Services, LLC

Community/Behavioral Health Agency · Baltimore, MD

NPI number 1134081862 Active

Practice location

4606 Moravia Run Way
Baltimore, MD 21206-3582

Call (443) 619-1222 Map

Fax (443) 619-1222

Specialties and licenses

TaxonomyCodeLicense
Developmentally Disabled Services Day Training Agency 251C00000XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1134081862

Revitalize Support Services, LLC's National Provider Identifier is 1134081862, issued on Dec 1, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Baltimore, MD. The record was last updated on Dec 1, 2025.