Organization · Type 2 NPI

West House Sober Living Home

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

NPI number 1801612064 Active

Practice location

1649 Poplar Grove St
Baltimore, MD 21216-3512

Call (240) 583-7003 Map

Mailing address

5500 Quincy St
Hyattsville, MD 20784-1110

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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 1801612064

West House Sober Living Home's National Provider Identifier is 1801612064, issued on Dec 3, 2024. 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 Dec 3, 2024.