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Organization
PROFESSIONAL SERVICES OF HOLY CROSS: BEHAVIORAL HEALTH
Active
Organization
PROFESSIONAL SERVICES OF HOLY CROSS: BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE KEESE (VP & CFO)
(301) 754-7201
Entity
Organization
Contact information
Practice address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910-1483
(301) 754-7000
Mailing address
PO BOX 531863, ATLANTA, GA 30353-1863
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410238000
—
MD
Enumeration date
11/06/2006
Last updated
09/24/2024
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