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Organization
FAMILY & CHILDRENS SERVICES OF CENTRAL MARYLAND INC
Active
Organization
FAMILY & CHILDRENS SERVICES OF CENTRAL MARYLAND INC
Active
Other names
Springboard Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE COSTLEY (CREDENTIALING COORDINATOR)
(410) 366-1980
Entity
Organization
Contact information
Practice address
10451 TWIN RIVERS RD STE 100, COLUMBIA, MD 21044-2332
(410) 997-3557
(410) 964-1791
Mailing address
4623 FALLS RD, BALTIMORE, MD 21209-4914
(410) 366-1980
(410) 366-8530
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
BH000477
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132820403
—
MD
Enumeration date
03/28/2018
Last updated
08/13/2020
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