NPI | 1396168522 |
---|---|
Entity Type | Organization |
Authorized Contact | LATISHA JANNELL GASAWAY Co Owner 301-977-9393 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MD 158434) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2014-01-23 |
Last Update Date | 2014-01-23 |