Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDDY D TITANWA
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · BOWIE, MD
Registration Details
- NPI Number
- 1346708641
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 5, 2019 (7.1306323186338 yrs)
- Last Updated
- Mar 5, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
13105 ROSALIES PROGRESS CTBOWIE, MD, 207206322Browse MD providers · Browse ZIP 20720
- Phone
- 4438255979
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.