Organization
CHANNEL MARKER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE CASSELL LCSW-C (PROGRAM DIRECTOR)
(410) 822-4619
Entity
Organization
Contact information
Practice address
420 DORCHESTER AVE, CAMBRIDGE, MD 21613-2446
(410) 228-8330
Mailing address
8865 GLEBE PARK DR, UNIT 1, EASTON, MD 21601-7003
(410) 822-4619
(410) 822-0984
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
588251602
—
MD
Enumeration date
02/07/2008
Last updated
12/20/2016
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