| Charles County Freedom Landing, Inc. | |
|
400 Potomac Street La Plata MD 20646-0939 | |
| (301) 932-2737 | |
| (301) 932-2803 |
| Full Name | Charles County Freedom Landing, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 400 Potomac Street, La Plata, Maryland |
| Authorized Official Name and Position | Joyce Abramson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3019322737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles County Freedom Landing, Inc. Po Box 939 400 Potomac Street La Plata MD 20646-0939 Ph: (301) 932-2737 | Charles County Freedom Landing, Inc. 400 Potomac Street La Plata MD 20646-0939 Ph: (301) 932-2737 |
| NPI Number | 1740332451 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 02/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740332451 | NPI | - | NPPES |
| 588981200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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