| NPI | 1487103578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE WILLIAMS Owner/Bcba 240-547-9939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LBA233) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: MD LBA233) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |