| NPI | 1528496817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC KEBELA Chief Executive Officer 443-854-1065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MD 251S0000X) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: MD 251K0000X) |
| 252Y00000X Early Intervention Provider Agency (Licence: MD 252Y0000X) | |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |