| NPI | 1598373755 |
|---|---|
| Doing Business As | PEDIATRIC DEVELOPMENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | CHANA INDICH Insurance Coordinator 410-358-1997 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |