| Courage To Change Of Southern Maryland | |
|
96 Armory Rd Suite 102 Prince Frederick MD 20678-4117 | |
| (410) 414-9050 | |
| (410) 414-9060 |
| Full Name | Courage To Change Of Southern Maryland |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 96 Armory Rd, Prince Frederick, Maryland |
| Authorized Official Name and Position | Marjorie Humke (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4104149050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courage To Change Of Southern Maryland 96 Armory Rd Suite 102 Prince Frederick MD 20678-4117 Ph: (410) 414-9050 | Courage To Change Of Southern Maryland 96 Armory Rd Suite 102 Prince Frederick MD 20678-4117 Ph: (410) 414-9050 |
| NPI Number | 1609924877 |
|---|---|
| Provider Enumeration Date | 01/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609924877 | NPI | - | NPPES |
| MD-10343401 | Other | MD | SAMIS ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCA091 (Maryland) | Primary |
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