NPI | 1528400454 |
---|---|
Entity Type | Organization |
Authorized Contact | THEMBI DEPASS CEO 240-495-1505 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MD 03772) |
Additional Taxonomies | 225500000X Specialist/Technologist (Licence: MD 03772) |
261QH0700X Clinic/Center, Hearing and Speech (Licence: MD 03772) | |
Enumeration Date | 2013-07-19 |
Last Update Date | 2021-03-29 |