| 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 |