Organization
ALLEGANY COUNTY HEALTH DEPARTMENT
Active
Parent organization
ALLEGANY COUNTY HEALTH DEPARTMENT
Other names
Behavioral Health Jackson Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLEGANY COUNTY HEALTH DEPARTMENT
Authorized official
DR. SUE V RAVER M.D., M.P.H. (ALLEGANY COUNTY HEALTH OFFICER)
(301) 759-5000
Entity
Organization
Contact information
Practice address
10102 COUNTRY CLUB RD SE, CUMBERLAND, MD 21502-8339
(301) 777-2290
(301) 777-2141
Mailing address
PO BOX 1745, CUMBERLAND, MD 21501-1745
(301) 759-5000
(301) 777-5674
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
904691
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277593
MAMSI
—
01
—
323817
VALUE OPTIONS
—
05
—
603304100
—
MD
Enumeration date
03/11/2015
Last updated
03/11/2015
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