| Trico Corporation | |
|
2670 Crain Highway, Suite 525 Smallwood Building Waldorf MD 20621 | |
| (310) 632-2100 | |
| (301) 632-2150 |
| Full Name | Trico Corporation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2670 Crain Highway, Suite 525, Waldorf, Maryland |
| Authorized Official Name and Position | William E Arick (PRESIDENT) |
| Authorized Official Contact | 3018624966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trico Corporation P.o. Box 826 Lexington Park MD 20653 Ph: (301) 862-4966 | Trico Corporation 2670 Crain Highway, Suite 525 Smallwood Building Waldorf MD 20621 Ph: (310) 632-2100 |
| NPI Number | 1790817674 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 10/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790817674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Maryland) | Primary |
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