Provider Demographics
NPI:1447395611
Name:DORCHESTER COUNTY PUBLIC SCHOOLS INFANT & TODDLER PROGRAM
Entity Type:Organization
Organization Name:DORCHESTER COUNTY PUBLIC SCHOOLS INFANT & TODDLER PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCPEAKE
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:410-221-1111
Mailing Address - Street 1:700 GLASGOW ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-1738
Mailing Address - Country:US
Mailing Address - Phone:410-221-1111
Mailing Address - Fax:410-221-5215
Practice Address - Street 1:700 GLASGOW ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-1738
Practice Address - Country:US
Practice Address - Phone:410-221-1111
Practice Address - Fax:410-221-5215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty