Organization
CAROLINE COUNTY SUBSTANCE ABUSE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LELAND SPENCER M.D. MPH (HEALTH OFFICER)
(410) 479-8030
Entity
Organization
Contact information
Practice address
403 S 7TH ST, DENTON, MD 21629-1327
(410) 479-8030
(410) 479-0554
Mailing address
104 FRANKLIN ST, DENTON, MD 21629-1208
(410) 479-8030
(410) 479-0554
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
D0027046
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
716251100
MARYLAND PHYSICIANS CARE
MD
Enumeration date
12/16/2011
Last updated
12/16/2011
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