NPI 1497389860
Developmental Impact, LLC
Practice location
- Address
- 15610 Passaie Ln, Bowie, MD 20716-1443
- Phone
- (240) 408-6167
- Fax
- (301) 249-4324
Authorised official
- Name
- Lauretta Reffell Beard
- Title
- Ceo
- Phone
- (240) 408-6167
Registered specialties
Supports Brokerage Agency
Primary
Registry record
- NPI
- 1497389860
- Entity type
- Organization
- NPI issued
- 25 Feb 2020
- Record last updated
- 25 Feb 2020
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.