Organization
PRINCE GEORGE'S COUNTY INFANTS AND TODDLERS PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON L LEYDEN (PROGRAM ADMINISTRATOR)
(301) 856-9465
Entity
Organization
Contact information
Practice address
9201 BASIL CT, SUITE 440, LARGO, MD 20774-5343
(301) 856-9465
(301) 856-9459
Mailing address
9201 BASIL CT, SUITE 440, LARGO, MD 20774-5343
(301) 856-9465
(301) 856-9459
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
12/23/2008
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