Provider Demographics
NPI:1508502170
Name:DEVELOPMENTAL COMMUNITY SERVICES INC
Entity Type:Organization
Organization Name:DEVELOPMENTAL COMMUNITY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:WINSTON
Authorized Official - Last Name:ENGLISH
Authorized Official - Suffix:
Authorized Official - Credentials:MSNA, CRNA
Authorized Official - Phone:919-618-2034
Mailing Address - Street 1:6347 WINPENNY DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-2400
Mailing Address - Country:US
Mailing Address - Phone:919-618-2034
Mailing Address - Fax:240-755-0304
Practice Address - Street 1:6347 WINPENNY DR
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-2400
Practice Address - Country:US
Practice Address - Phone:919-618-2034
Practice Address - Fax:410-730-3175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-06
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities