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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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