| Project Chesapeake Llc | |
|
21 Industrial Park Dr Ste 104d Waldorf MD 20602-2751 | |
| (301) 818-0030 | |
| (301) 818-0030 |
| Full Name | Project Chesapeake Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 21 Industrial Park Dr Ste 104d, Waldorf, Maryland |
| Authorized Official Name and Position | Christina Peterson (BILLING MANAGER) |
| Authorized Official Contact | 4434405782 |
| 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 21 Industrial Park Dr Ste 104d Waldorf MD 20602-2751 Ph: (301) 818-0030 |
| NPI Number | 1548789985 |
|---|---|
| Provider Enumeration Date | 09/18/2017 |
| Last Update Date | 05/10/2023 |
| Certification Date | 05/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548789985 | 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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