| NPI | 1093264657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE WILCOX Founder 443-540-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 133000306) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: VA 133000306) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |