Project Chesapeake Llc | |
108 Old Solomons Island Rd Building 2 Suite 1 Annapolis MD 21401-3845 | |
(443) 214-5097 | |
(443) 378-8538 |
Full Name | Project Chesapeake Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 108 Old Solomons Island Rd, Annapolis, Maryland |
Authorized Official Name and Position | Rebekha Rogers (CLINICAL DIRECTOR) |
Authorized Official Contact | 4432145097 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Project Chesapeake Llc 185 Admiral Cochrane Dr Ste 120 Annapolis MD 21401-7600 Ph: (443) 440-5782 | Project Chesapeake Llc 108 Old Solomons Island Rd Building 2 Suite 1 Annapolis MD 21401-3845 Ph: (443) 214-5097 |
NPI Number | 1033574678 |
---|---|
Provider Enumeration Date | 12/28/2015 |
Last Update Date | 05/19/2021 |
Certification Date | 05/19/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033574678 | NPI | - | NPPES |
423286100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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