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Organization

VA HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN O'BRIEN O'BRIEN MSW, LCSW-C (SOCIAL WORKER)
(410) 605-7000
Entity
Organization

Contact information

Practice address
1H CIRCLE DRIVE, PERRY POINT, MD 21902-0468
(410) 642-2411
(410) 642-1852
Mailing address
PO BOX 468, PERRY POINT, MD 21902-0468
(410) 642-2411
(410) 642-1852

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
15390
MD
283Q00000X
Psychiatric Hospital
Primary
15390
MD

Other

Enumeration date
11/05/2009
Last updated
11/05/2009
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