| Carters Comprehensive Support Services Llc | |
|
2311 Pinefield Rd Waldorf MD 20601-3235 | |
| (240) 412-7039 | |
| Not Available |
| Full Name | Carters Comprehensive Support Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2311 Pinefield Rd, Waldorf, Maryland |
| Authorized Official Name and Position | Dawn Nicole Gillom-carter (OWNER/ CEO) |
| Authorized Official Contact | 2404127039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carters Comprehensive Support Services Llc 2311 Pinefield Rd Waldorf MD 20601-3235 Ph: (240) 412-7039 | Carters Comprehensive Support Services Llc 2311 Pinefield Rd Waldorf MD 20601-3235 Ph: (240) 412-7039 |
| NPI Number | 1255842001 |
|---|---|
| Provider Enumeration Date | 10/19/2017 |
| Last Update Date | 12/22/2022 |
| Certification Date | 12/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255842001 | NPI | - | NPPES |
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