| Chesapeake South Therapeutic Group Llc | |
|
23127 Three Notch Rd Suite 101 California MD 20619-2402 | |
| (301) 752-2615 | |
| Not Available |
| Full Name | Chesapeake South Therapeutic Group Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 23127 Three Notch Rd, California, Maryland |
| Authorized Official Name and Position | Jessica Z Bowling (THERAPIST/ AUTHORIZED MEMBER) |
| Authorized Official Contact | 3017522615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake South Therapeutic Group Llc 23127 Three Notch Rd Suite 101 California MD 20619-2402 Ph: () - | Chesapeake South Therapeutic Group Llc 23127 Three Notch Rd Suite 101 California MD 20619-2402 Ph: (301) 752-2615 |
| NPI Number | 1992165641 |
|---|---|
| Provider Enumeration Date | 02/23/2016 |
| Last Update Date | 02/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992165641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LC3556 (Maryland) | Primary |
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