| Charles County Department Of Health | |
|
6905 Crain Hwy La Plata MD 20646-3956 | |
| (301) 609-6609 | |
| Not Available |
| Full Name | Charles County Department Of Health |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6905 Crain Hwy, La Plata, Maryland |
| Authorized Official Name and Position | Debra S Bowling (BILLING MANAGER) |
| Authorized Official Contact | 3016096928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles County Department Of Health Po Box 1050 White Plains MD 20695-1050 Ph: (301) 609-6600 | Charles County Department Of Health 6905 Crain Hwy La Plata MD 20646-3956 Ph: (301) 609-6609 |
| NPI Number | 1871982629 |
|---|---|
| Provider Enumeration Date | 01/16/2015 |
| Last Update Date | 01/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871982629 | NPI | - | NPPES |
| VA04 | Other | MD | MEDICARE GROUP PRACTICE |
| 422796400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Maryland) | Primary |
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