Organization
PRINCE GEORGE'S COUNTY INFANTS & TODDLERS PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON LYNN LEYDEN (PROGRAM DIRECTOR)
(301) 856-9465
Entity
Organization
Contact information
Practice address
9201 BASIL CT, SUITE 440, LARGO, MD 20774-5343
(301) 856-9465
(301) 856-6459
Mailing address
9201 BASIL CT, SUITE 440, LARGO, MD 20774-5343
(301) 856-9465
(301) 856-6459
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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