Provider Demographics
NPI:1770915498
Name:ST.MARYS COUNTY PUBLIC SCHOOLS/INFANTS AND TODDLERS PROGRAM
Entity type:Organization
Organization Name:ST.MARYS COUNTY PUBLIC SCHOOLS/INFANTS AND TODDLERS PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-475-5511
Mailing Address - Street 1:23160 MOAKLEY ST
Mailing Address - Street 2:P O BOX 1410
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-2922
Mailing Address - Country:US
Mailing Address - Phone:301-475-5511
Mailing Address - Fax:301-475-2469
Practice Address - Street 1:23160 MOAKLEY ST
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-2922
Practice Address - Country:US
Practice Address - Phone:301-475-5511
Practice Address - Fax:301-475-2469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)