Organization
CAROLINE COUNTY HEALTH DEPARTMENT, DHMH, MD
Active
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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