Provider Demographics
NPI:1750561148
Name:HUMAN DEVELOPMENT CENTER
Entity type:Organization
Organization Name:HUMAN DEVELOPMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SZOLLOS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-893-3082
Mailing Address - Street 1:PO BOX 1226
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-0226
Mailing Address - Country:US
Mailing Address - Phone:410-893-3082
Mailing Address - Fax:410-730-9251
Practice Address - Street 1:115 FULFORD AVE
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-3833
Practice Address - Country:US
Practice Address - Phone:410-893-3082
Practice Address - Fax:410-730-9251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2226261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)