Organization
ARUNDEL LODGE, INC
Active
Parent organization
ARUNDEL LODGE, INC
Other names
Youth Services Partnership Arundel Lodge at the Stanton Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARUNDEL LODGE, INC
Authorized official
CYNTHIA GARMOE (HUMAN RESOURCES/CREDENTIALING)
(443) 433-5900
Entity
Organization
Contact information
Practice address
92 W WASHINGTON ST, ANNAPOLIS, MD 21401-2432
(443) 433-5900
(410) 841-6045
Mailing address
2600 SOLOMONS ISLAND RD, EDGEWATER, MD 21037-1102
(443) 433-5900
(410) 841-6045
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409776900
—
MD
05
—
414478300
—
MD
Enumeration date
07/16/2019
Last updated
07/16/2019
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