| NPI | 1003200924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY J WHITE Owner 301-758-3682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MD 17157) |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: MD 0896) |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2015-03-28 |