| Family, Adult & Child Enrichment Services, Pa | |
|
23316 Bent Arrow Dr Clarksburg MD 20871-4454 | |
| (301) 540-5478 | |
| Not Available |
| Full Name | Family, Adult & Child Enrichment Services, Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 23316 Bent Arrow Dr, Clarksburg, Maryland |
| Authorized Official Name and Position | Joseph Peter Wilson (OWNER) |
| Authorized Official Contact | 3015405478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family, Adult & Child Enrichment Services, Pa 23316 Bent Arrow Dr Clarksburg MD 20871-4454 Ph: (301) 540-5478 | Family, Adult & Child Enrichment Services, Pa 23316 Bent Arrow Dr Clarksburg MD 20871-4454 Ph: (301) 540-5478 |
| NPI Number | 1871647487 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871647487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 09724 (Maryland) | Primary |
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