Provider Demographics
NPI:1053511733
Name:PARTNERSHIP DEVELOPMENT GROUP, INC.
Entity Type:Organization
Organization Name:PARTNERSHIP DEVELOPMENT GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SONDRA
Authorized Official - Middle Name:E
Authorized Official - Last Name:TRANEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, NCC
Authorized Official - Phone:410-863-7213
Mailing Address - Street 1:1110 BENFIELD BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-2639
Mailing Address - Country:US
Mailing Address - Phone:410-863-7213
Mailing Address - Fax:410-863-7205
Practice Address - Street 1:1110 BENFIELD BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-2639
Practice Address - Country:US
Practice Address - Phone:410-863-7213
Practice Address - Fax:410-863-7205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD402347100Medicaid