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Organization
HOLLY CENTER
Active
Organization
HOLLY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS M. KISH (DIRECTOR)
(410) 572-6201
Entity
Organization
Contact information
Practice address
926 SNOW HILL RD, SALISBURY, MD 21804-1939
(410) 572-6200
(410) 572-6390
Mailing address
926 SNOW HILL RD, SALISBURY, MD 21804-1939
(410) 572-6200
(410) 572-6390
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
22-007
MD
Other
Enumeration date
12/20/2005
Last updated
08/22/2020
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