Cisco Center Foundation, INC.
Early Intervention Provider Agency in Severna Park, MD. Organization (NPI-2).
NPI number1982000626
StatusActive
Last updated in NPPESNov 7, 2014
Details
- NPI
- 1982000626
- Entity type
- Organization (NPI-2)
- Legal business name
- Cisco Center Foundation, INC.
- Organization subpart
- No
- Enumeration date
- Nov 7, 2014
- Last updated
- Nov 7, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | 161882 | MD | Yes |
Practice location
350 Baltimore Annapolis BlvdSeverna Park, MD 21146-1370
Phone 410-647-1503
Mailing address
350 Baltimore Annapolis BlvdSeverna Park, MD 21146-1370
Phone 410-647-1503
Authorized official
Cisco Nochera
Executive Director
4106471503
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.