Provider Demographics
NPI:1952817942
Name:NEIGHBORHOOD SUPPORT SERVICES INC.
Entity Type:Organization
Organization Name:NEIGHBORHOOD SUPPORT SERVICES INC.
Other - Org Name:NEIGHBORHOOD SUPPORT SERVICES INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CECELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYNIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-261-6147
Mailing Address - Street 1:9055 GAITHER RD STE D
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-1444
Mailing Address - Country:US
Mailing Address - Phone:240-261-6147
Mailing Address - Fax:
Practice Address - Street 1:9055 GAITHER RD STE D
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-1444
Practice Address - Country:US
Practice Address - Phone:240-261-6147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-28
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities