NPI 1275317935

Magnolia Behavior Health Center LLC

Organisation Early Intervention Provider Agency Frederick, MD

Practice location

Address: 604 Solarex CT Unit 205, Frederick, MD 21703-8655
Phone: (240) 919-6062
Fax: (301) 698-8789

Authorised official

Name: Julia Shirima
Title: Owner
Phone: (240) 919-6062

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Maryland →

Registry record

NPI: 1275317935
Entity type: Organization
NPI issued: 23 Aug 2023
Record last updated: 26 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.