| NPI | 1336306802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA MUFFLEY Medicaid Coordinator 410-535-7468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |