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Organization
HARWOOD BEHAVIORAL HEALTH II LLC
Active
Organization
HARWOOD BEHAVIORAL HEALTH II LLC
Active
Parent organization
CCG HOLDCO LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CCG HOLDCO LLC
Authorized official
ERIC SHAPIRO (CFO)
(667) 239-3293
Entity
Organization
Contact information
Practice address
911 S DUPONT HWY, DOVER, DE 19901-4468
(667) 239-3293
Mailing address
3905 NATIONAL DR STE 200, BURTONSVILLE, MD 20866-6143
(667) 239-3293
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/18/2023
Last updated
08/22/2023
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