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Organization

BOWIE THERAPEUTIC NURSERY CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHLEEN A KAUFFMANN LCSW-C (CLINICAL DIRECTOR)
(301) 262-9167
Entity
Organization

Contact information

Practice address
3120 BELAIR DR, BOWIE, MD 20715-3101
(301) 262-9167
(301) 805-5094
Mailing address
3120 BELAIR DR, BOWIE, MD 20715-3101
(301) 262-9167
(301) 805-5094

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
21381
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
646410600
MD
Enumeration date
03/16/2009
Last updated
03/16/2009
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