Organization
CAROLINE COUNTY HEALTH DEPARTMENT, DHMH, MD
Active
Other names
Caroline Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETTY MUMFORD MALKUS PH.D. (PSYCHOLOGIST/PROGRAM ADMINISTRATOR)
(410) 479-1882
Entity
Organization
Contact information
Practice address
104 FRANKLIN ST, DENTON, MD 21629-1208
(410) 479-1882
(410) 479-4918
Mailing address
104 FRANKLIN ST, P.O.BOX 10, DENTON, MD 21629-1208
(410) 479-1882
(410) 479-4918
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
9812
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9812
OUTPATIENT ADDICTION
MD
Enumeration date
12/19/2005
Last updated
08/22/2020
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