Organization
CLINICAL SERVICE CONNECTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN RICHARD BUTLER III (VICE PRESIDENT)
(443) 661-1301
Entity
Organization
Contact information
Practice address
8930 ROUTE 108, SUITE A, COLUMBIA, MD 21045-2121
(443) 661-1301
(443) 661-1175
Mailing address
8930 ROUTE 108, SUITE A, COLUMBIA, MD 21045-2121
(443) 661-1301
(443) 661-1175
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1522
MD
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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