| 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 |