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Organization
ADOLESCENT AND FAMILY SERVICES/MENTAL HEALTH
Active
Organization
ADOLESCENT AND FAMILY SERVICES/MENTAL HEALTH
Active
Parent organization
ANNE ARUNDEL COUNTY DEPT. OF HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANNE ARUNDEL COUNTY DEPT. OF HEALTH
Authorized official
TIMOTHY LAURESKA (DEPUTY HEALTH OFFICER/OPERATIONS)
(410) 222-7377
Entity
Organization
Contact information
Practice address
122 LANGLEY RD N, STE A, GLEN BURNIE, MD 21060-6531
(410) 222-6785
(410) 222-6888
Mailing address
3 HARRY S TRUMAN PKWY, HD19, ANNAPOLIS, MD 21401-7031
(410) 222-7164
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
MH-882
MD
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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