Organization Name: | CIS & H, INC |
NPI Number: | 1053679225 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALFRED SIBEDWO (DIRECTOR) |
Mailing Address: | 1839 Brightseat Rd Landover |
State: | MD US |
Postal Code: | 207854250 |
Phone Number: | 3013643300 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2012 |
NPI Last Update Date: | 04/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TM1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Mental Retardation & Developmental Disabilities |
Taxonomy Definition: |