NPI | 1205168820 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWNDA CLARICE METELLUS Owner/Speech Language Pathologist 301-661-4759 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MD 656615) |
Enumeration Date | 2010-02-06 |
Last Update Date | 2022-07-22 |