Organization · Type 2 NPI
Dynamic Change
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Baltimore, MD
Practice location
405 Long Island Ave Apt B
Baltimore, MD 21229-4010
Mailing address
7651 Mandrake Ct Unit 305
Elkridge, MD 21075-7985
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | 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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About NPI 1396688271
Dynamic Change's National Provider Identifier is 1396688271, issued on Apr 14, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Baltimore, MD. The record was last updated on Apr 14, 2026.