Provider Demographics
NPI:1679754295
Name:TAI SOPHIA INSTITUTE
Entity type:Organization
Organization Name:TAI SOPHIA INSTITUTE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE VICE PRESIDENT - BUSINESS
Authorized Official - Prefix:MR
Authorized Official - First Name:W.
Authorized Official - Middle Name:HARRY
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:410-888-9048
Mailing Address - Street 1:7750 MONTPELIER RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-6010
Mailing Address - Country:US
Mailing Address - Phone:410-888-9048
Mailing Address - Fax:410-888-9004
Practice Address - Street 1:7750 MONTPELIER RD
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-6010
Practice Address - Country:US
Practice Address - Phone:410-888-9048
Practice Address - Fax:410-888-9004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty