| Silver Spring Outpatient Treatment Program | |
|
10230 New Hampshire Ave Suite 206 Silver Spring MD 20903-1400 | |
| (301) 439-6700 | |
| (301) 439-5755 |
| Full Name | Silver Spring Outpatient Treatment Program |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 10230 New Hampshire Ave, Silver Spring, Maryland |
| Authorized Official Name and Position | Karen Grace Cooper (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3014396700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Spring Outpatient Treatment Program 10230 New Hampshire Ave Suite 206 Silver Spring MD 20903-1400 Ph: (301) 439-6700 | Silver Spring Outpatient Treatment Program 10230 New Hampshire Ave Suite 206 Silver Spring MD 20903-1400 Ph: (301) 439-6700 |
| NPI Number | 1457474017 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457474017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 903158 (Maryland) | Primary |
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