| NPI | 1538660808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAUNNA THOMAS Owner 443-402-0172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: MD BH000295) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: MD BH000295) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |