Organization · Type 2 NPI

Dynamic Change

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

NPI number 1396688271 Active

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

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.