Adolescent And Family Services/addictions | |
3 Harry S Truman Pkwy Hd#19 Annapolis MD 21401-7031 | |
(410) 222-7135 | |
(410) 222-4173 |
Full Name | Adolescent And Family Services/addictions |
---|---|
Speciality | Clinic/center |
Location | 3 Harry S Truman Pkwy, Annapolis, Maryland |
Authorized Official Name and Position | Timothy Laureska (DEPUTY HEALTH OFFICER/OPERATIONS) |
Authorized Official Contact | 4102227377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Adolescent And Family Services/addictions 122 Langley Rd N Ste A Glen Burnie MD 21060-6531 Ph: (410) 222-6725 | Adolescent And Family Services/addictions 3 Harry S Truman Pkwy Hd#19 Annapolis MD 21401-7031 Ph: (410) 222-7135 |
NPI Number | 1902175128 |
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Provider Enumeration Date | 12/16/2011 |
Last Update Date | 12/11/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902175128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 904875 (Maryland) | Primary |
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