Project Chesapeake, Llc | |
202 Coursevall Dr Ste 104 Centreville MD 21617-2805 | |
(443) 262-0425 | |
Not Available |
Full Name | Project Chesapeake, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 202 Coursevall Dr Ste 104, Centreville, Maryland |
Authorized Official Name and Position | Joseph Rogers (PARTNER) |
Authorized Official Contact | 4434405780 |
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) 440-5780 | Project Chesapeake, Llc 202 Coursevall Dr Ste 104 Centreville MD 21617-2805 Ph: (443) 262-0425 |
NPI Number | 1174025944 |
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Provider Enumeration Date | 03/07/2018 |
Last Update Date | 03/26/2024 |
Certification Date | 03/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174025944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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