| NPI | 1780543041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GOLABIEWSKI Director Of Revenue 443-386-3610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2026-01-21 |
| Last Update Date | 2026-01-21 |