Organization · NPI-2

Charles County Department Of Health

Community/Behavioral Health · White Plains, MD

NPI number1144646472
StatusActive
Last updated in NPPESMar 11, 2014

Details

NPI
1144646472
Entity type
Organization (NPI-2)
Legal business name
Charles County Department Of Health
Organization subpart
No
Enumeration date
Mar 11, 2014
Last updated
Mar 11, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health–MDYes

Practice location

4545 Crain Hwy
White Plains, MD 20695-3045

Phone 301-609-6928 · Fax 301-609-6930

Mailing address

4545 Crain Hwy
White Plains, MD 20695-3045

Phone 301-609-6928 · Fax 301-609-6930

Authorized official

Debra S Bowling
Billing Manager
3016096928

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