Organization
HARBOR CITY PEDIATRICS EARLY INTERVENTION AND EDUCATIONAL TESTING SERV
Active
Organization
HARBOR CITY PEDIATRICS EARLY INTERVENTION AND EDUCATIONAL TESTING SERV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESHAUNA LEWIS (OWNER)
(443) 631-0445
Entity
Organization
Contact information
Practice address
11 TERRON CT, BALTIMORE, MD 21234-5929
(443) 631-0445
Mailing address
11 TERRON CT, BALTIMORE, MD 21234-5929
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
302F00000X
Exclusive Provider Organization
—
—
302R00000X
Health Maintenance Organization
—
—
305R00000X
Preferred Provider Organization
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
10/13/2012
Last updated
10/13/2012
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