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Organization

ADOLESCENT AND FAMILY SERVICES/MENTAL HEALTH

Active
Parent organization
ANNE ARUNDEL COUNTY DEPT. OF HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
ANNE ARUNDEL COUNTY 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 A, GLEN BURNIE, MD 21060-6531
(410) 222-6785
(410) 222-6888
Mailing address
3 HARRY S TRUMAN PKWY, HD19, ANNAPOLIS, MD 21401-7031
(410) 222-7164

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
MH-882
MD

Other

Enumeration date
12/11/2014
Last updated
12/11/2014
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