| Child Center And Adult Services Inc | |
|
16220 S Frederick Avenue Suite 502 Gaithersburg MD 20877-4022 | |
| (301) 978-9750 | |
| (301) 978-9753 |
| Full Name | Child Center And Adult Services Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 16220 S Frederick Avenue, Gaithersburg, Maryland |
| Authorized Official Name and Position | Nancy E Ebb (CO DIRECTOR) |
| Authorized Official Contact | 3019789750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Center And Adult Services Inc 16220 S Frederick Avenue Suite 502 Gaithersburg MD 20877-4022 Ph: (301) 978-9750 | Child Center And Adult Services Inc 16220 S Frederick Avenue Suite 502 Gaithersburg MD 20877-4022 Ph: (301) 978-9750 |
| NPI Number | 1639245830 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 07/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639245830 | NPI | - | NPPES |
| 063210400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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