| Crosswalk To Change, Llc | |
|
12676 National Pike Grantsville MD 21536-3320 | |
| (301) 895-8087 | |
| (301) 895-8097 |
| Full Name | Crosswalk To Change, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12676 National Pike, Grantsville, Maryland |
| Authorized Official Name and Position | Vicky Lynn Zang (PRESIDENT) |
| Authorized Official Contact | 3018958087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crosswalk To Change, Llc 12676 National Pike Grantsville MD 21536-3320 Ph: (301) 895-8087 | Crosswalk To Change, Llc 12676 National Pike Grantsville MD 21536-3320 Ph: (301) 895-8087 |
| NPI Number | 1245656776 |
|---|---|
| Provider Enumeration Date | 03/07/2014 |
| Last Update Date | 03/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245656776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 16149 (Maryland) | Primary |
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