Provider Demographics
NPI:1114104882
Name:QUADRI-TECHNOLOGY LTD
Entity Type:Organization
Organization Name:QUADRI-TECHNOLOGY LTD
Other - Org Name:BEHAVIORAL SCIENCE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:URSULA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAKE
Authorized Official - Suffix:
Authorized Official - Credentials:MPA, CPM
Authorized Official - Phone:301-238-4786
Mailing Address - Street 1:5000 SAINT BARNABAS RD
Mailing Address - Street 2:COTTAGE 1
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-4608
Mailing Address - Country:US
Mailing Address - Phone:301-238-4786
Mailing Address - Fax:
Practice Address - Street 1:5000 SAINT BARNABAS RD
Practice Address - Street 2:COTTAGE 1
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-4608
Practice Address - Country:US
Practice Address - Phone:301-238-4786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health