Initiating Change Through Social Development, INC.
Community/Behavioral Health in Baltimore, MD. Organization (NPI-2).
NPI number1013363530
StatusActive
Last updated in NPPESMay 13, 2016
Details
- NPI
- 1013363530
- Entity type
- Organization (NPI-2)
- Legal business name
- Initiating Change Through Social Development, INC.
- Organization subpart
- No
- Enumeration date
- May 13, 2016
- Last updated
- May 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | MD | Yes |
| 251B00000X | Case Management | – | – | |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – |
Practice location
8 Pea Pod CtBaltimore, MD 21207-4201
Phone 443-682-3986
Mailing address
8 Pea Pod CtBaltimore, MD 21207-4201
Phone 443-682-3986
Authorized official
Dearndra Hendricks
Founder And Executive Director
4436823986
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