| Project Chesapeake Llc | |
|
69 Sherry Ln Prince Frederick MD 20678-3231 | |
| (443) 440-5780 | |
| Not Available |
| Full Name | Project Chesapeake Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 69 Sherry Ln, Prince Frederick, 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 69 Sherry Ln Prince Frederick MD 20678-3231 Ph: (443) 440-5780 |
| NPI Number | 1912459017 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 06/21/2022 |
| Certification Date | 06/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912459017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17401 (Maryland) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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