Caruth Staffing Agency P.c. | |
2114 Garden Grove Ln Bowie MD 20721-1883 | |
(240) 245-0039 | |
(301) 542-0125 |
Full Name | Caruth Staffing Agency P.c. |
---|---|
Speciality | Counselor - Mental Health |
Location | 2114 Garden Grove Ln, Bowie, Maryland |
Authorized Official Name and Position | Monique Junette Caruth (OWNER/CEO) |
Authorized Official Contact | 2402450039 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Caruth Staffing Agency P.c. 2114 Garden Grove Ln Bowie MD 20721-1883 Ph: (240) 245-0039 | Caruth Staffing Agency P.c. 2114 Garden Grove Ln Bowie MD 20721-1883 Ph: (240) 245-0039 |
NPI Number | 1861116758 |
---|---|
Provider Enumeration Date | 10/03/2022 |
Last Update Date | 10/03/2022 |
Certification Date | 10/03/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861116758 | NPI | - | NPPES |
241685 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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