Organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Active
Parent organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Authorized official
TAMALA BUTLER (CREDENTIALING SPECIALIST)
(301) 883-7822
Entity
Organization
Contact information
Practice address
3003 HOSPITAL DRIVE - GROUND FLOOR, CHEVERLY, MD 20785
(301) 583-5920
(301) 583-5953
Mailing address
1701 MCCORMICK DR, LARGO, MD 20774-5329
(301) 883-7822
(301) 883-7890
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419469100
—
MD
Enumeration date
01/28/2010
Last updated
09/17/2020
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