Organization · Type 2 NPI

Vine Residential Services

Developmental Disabilities Clinic/Center · Essex, MD

NPI number 1427869866 Active

Practice location

707 Norris Ln
Essex, MD 21221-2140

Fax (443) 961-8169

Mailing address

703 N Carey St
Baltimore, MD 21217-2412

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

About NPI 1427869866

Vine Residential Services's National Provider Identifier is 1427869866, issued on Jan 15, 2025. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Essex, MD. The record was last updated on Jan 15, 2025.