Provider Demographics
NPI:1457078578
Name:SON OF A DREAM SERVICES & MULTIMEDIA RESOURCES, LLC
Entity Type:Organization
Organization Name:SON OF A DREAM SERVICES & MULTIMEDIA RESOURCES, LLC
Other - Org Name:SON OF A DREAM
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MARVIN
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:III
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:443-804-4794
Mailing Address - Street 1:4709 HARFORD RD OFC 2
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214-3261
Mailing Address - Country:US
Mailing Address - Phone:443-804-4794
Mailing Address - Fax:
Practice Address - Street 1:4709 HARFORD RD OFC 2
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214-3261
Practice Address - Country:US
Practice Address - Phone:443-804-4794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty