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Organization
THE CARE GROUP AT SAFE HARBOR, LLC
Active
Organization
THE CARE GROUP AT SAFE HARBOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI N SCOGGIN (CREDENTIALING COORDINATOR)
(410) 893-4600
Entity
Organization
Contact information
Practice address
1208 E CHURCHVILLE RD, STE 300, BEL AIR, MD 21014-3442
(410) 893-4600
(443) 640-4358
Mailing address
1208 E. CHURCHVILLE ROAD, SUITE 300, BEL AIR, MD 21014
(410) 893-4600
(443) 640-4358
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003403098
—
DE
05
—
103054509
—
PA
05
—
20280710
—
IN
05
—
3102809
—
NH
01
—
387081
MEDICARE PTAN
MD
05
—
500701703
—
OR
05
—
783706200
—
MD
05
—
Q014476
—
TN
Enumeration date
10/01/2014
Last updated
03/08/2017
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