NPI | 1972903359 |
---|---|
Entity Type | Organization |
Authorized Contact | HALLIE BULKIN Owner 301-943-0920 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MD 06297) |
Enumeration Date | 2014-09-03 |
Last Update Date | 2014-09-03 |