Organization
CAROLINE COUNTY SUBSTANCE ABUSE CENTER
Active
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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