Healthcare Provider Details

I. General information

NPI: 1417851262
Provider Name (Legal Business Name): ALIPROS SUPPORT SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16178 BLACK ROCK RD
DARNESTOWN MD
20874-3216
US

IV. Provider business mailing address

16178 BLACK ROCK RD
DARNESTOWN MD
20874-3216
US

V. Phone/Fax

Practice location:
  • Phone: 301-938-2090
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ERIC SOFON
Title or Position: CEO
Credential:
Phone: 301-938-2090