Organization
THE PETERKIN GROUP OF MARYLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ANN LITTLE MHQP (EXECUTIVE DIRECTOR)
(910) 476-2796
Entity
Organization
Contact information
Practice address
9033 POPLAR RD, BERLIN, MD 21811-2949
(910) 476-2796
(843) 454-1283
Mailing address
9033 POPLAR RD, BERLIN, MD 21811-2949
(910) 476-2796
(843) 454-1283
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
MD
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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