Organization
JACOBS PROMISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN WINSTON (BCBA)
(301) 576-5487
Entity
Organization
Contact information
Practice address
15480 ANNAPOLIS RD STE 202, BOWIE, MD 20715-1803
(301) 392-7075
Mailing address
15480 ANNAPOLIS RD STE 202, BOWIE, MD 20715-1803
(301) 392-7075
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
ZZ 103K00000X
MD
Other
Enumeration date
12/26/2016
Last updated
12/26/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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