| Trico Corporation | |
|
46940 S Shangri La Dr Lexington Park MD 20653-1037 | |
| (301) 862-4961 | |
| (301) 862-5554 |
| Full Name | Trico Corporation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 46940 S Shangri La Dr, Lexington Park, Maryland |
| Authorized Official Name and Position | William E Arick (PRESIDENT TRICO CORPORATION) |
| Authorized Official Contact | 3018624961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trico Corporation Po Box 826 Lexington Park MD 20653-0826 Ph: (301) 862-4961 | Trico Corporation 46940 S Shangri La Dr Lexington Park MD 20653-1037 Ph: (301) 862-4961 |
| NPI Number | 1275514671 |
|---|---|
| Provider Enumeration Date | 11/11/2005 |
| Last Update Date | 03/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275514671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Maryland) | Primary |
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