Organization
CONCERTED CARE GROUP FREDERICK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEONNA ARMSTRONG (VP OF REVENUE CYCLE MANAGEMENT)
(240) 813-9867
Entity
Organization
Contact information
Practice address
92 THOMAS JOHNSON DR STE 100, FREDERICK, MD 21702-4591
(240) 815-7300
(301) 500-2223
Mailing address
428 E 25TH ST, BALTIMORE, MD 21218-5304
(240) 813-9867
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
102053
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102053
DHMH OHCQ
MD
Enumeration date
07/21/2017
Last updated
01/22/2025
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