| NPI | 1376055756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE DOYLE Chief Executive Officer 571-221-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |