Provider Demographics
NPI:1831878859
Name:TAINO INCORPORATED
Entity type:Organization
Organization Name:TAINO INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARRAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:754-312-0498
Mailing Address - Street 1:401 POST OFFICE RD STE 101B
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-2738
Mailing Address - Country:US
Mailing Address - Phone:754-312-0498
Mailing Address - Fax:
Practice Address - Street 1:401 POST OFFICE RD STE 101B
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-2738
Practice Address - Country:US
Practice Address - Phone:754-312-0498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health