| NPI | 1104213032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA SAUNDERS Program Administrator 443-333-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2016-04-01 |