Organization
INITIATING CHANGE THROUGH SOCIAL DEVELOPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEARNDRA HENDRICKS (FOUNDER AND EXECUTIVE DIRECTOR)
(443) 682-3986
Entity
Organization
Contact information
Practice address
8 PEA POD CT, BALTIMORE, MD 21207-4201
(443) 682-3986
Mailing address
8 PEA POD CT, BALTIMORE, MD 21207-4201
(443) 682-3986
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
MD
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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