Healthcare Provider Details

I. General information

NPI: 1851220362
Provider Name (Legal Business Name): A PERFECT START L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 FALLEN HORSE CIR STE 100
QUEENSTOWN MD
21658-1699
US

IV. Provider business mailing address

210 FALLEN HORSE CIR STE 100
QUEENSTOWN MD
21658-1699
US

V. Phone/Fax

Practice location:
  • Phone: 410-365-4117
  • Fax:
Mailing address:
  • Phone: 410-365-4117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. EBONI NAPIER JACKSON
Title or Position: CEO
Credential: JACKSON
Phone: 410-365-4117