NPI | 1700838034 |
---|---|
Former Legal Business Name | FAMILY SERVICE OF PRINCE GEOGES COUNTY, INC |
Entity Type | Organization |
Authorized Contact | DAPHNE SMITH Billing Manager 301-459-2121 |
Organization Subpart ? | No |
Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation |
Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: MD 2427) |
103TR0400X Psychologist, Rehabilitation (Licence: MD 5105) | |
Enumeration Date | 2006-05-16 |
Last Update Date | 2024-03-08 |