Provider Demographics
NPI:1447473814
Name:GARRETT COUNTY INFANTS AND TODDLERS
Entity type:Organization
Organization Name:GARRETT COUNTY INFANTS AND TODDLERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ATHEY-OXFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,MSM,CFRE
Authorized Official - Phone:301-334-1189
Mailing Address - Street 1:12423 GARRETT HWY
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550-1158
Mailing Address - Country:US
Mailing Address - Phone:301-334-1189
Mailing Address - Fax:301-334-1893
Practice Address - Street 1:12423 GARRETT HWY
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550-1158
Practice Address - Country:US
Practice Address - Phone:301-334-1189
Practice Address - Fax:301-334-1893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)