Carters Comprehensive Support Services LLC
Community/Behavioral Health in Waldorf, MD. Organization (NPI-2).
NPI number1255842001
StatusActive
Last updated in NPPESDec 22, 2022
Details
- NPI
- 1255842001
- Entity type
- Organization (NPI-2)
- Legal business name
- Carters Comprehensive Support Services LLC
- Organization subpart
- No
- Enumeration date
- Oct 19, 2017
- Certification date
- Dec 22, 2022
- Last updated
- Dec 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 251B00000X | Case Management | – | – |
Practice location
2311 Pinefield RdWaldorf, MD 20601-3235
Phone 240-412-7039
Mailing address
2311 Pinefield RdWaldorf, MD 20601-3235
Phone 240-412-7039
Authorized official
Dawn Nicole Gillom-Carter
Owner/ Ceo
2404127039
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All 73 Community/Behavioral Health Agency providers in Waldorf · All 2,202 providers in Waldorf
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