Organization
ADULT ADDICTIONS/MH
Active
Parent organization
ANNE ARUNDEL CO DEPT OF HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANNE ARUNDEL CO DEPT OF HEALTH
Authorized official
TIMOTHY LAURESKA (DEPUTY HEALTH OFFICER/OPERATIONS)
(410) 222-7377
Entity
Organization
Contact information
Practice address
122 LANGLEY RD N, STE B, GLEN BURNIE, MD 21060-6531
(410) 222-0100
(410) 222-0105
Mailing address
3 HARRY S TRUMAN PKWY, HD#19, ANNAPOLIS, MD 21401-7031
(410) 222-7135
(410) 222-4173
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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