Organization
GUIDE PROGRAM, INC.
Active
Other names
GUIDE Independence PRP - Montgomery TAY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT K. BIRDSONG LCSW-C (EXECUTIVE DIRECTOR & PRESIDENT)
(301) 549-3602
Entity
Organization
Contact information
Practice address
18321 LOST KNIFE CIR, 101, GAITHERSBURG, MD 20886-0305
(301) 948-1000
(301) 937-4378
Mailing address
8643 CHERRY LN, LAUREL, MD 20707-6200
(301) 549-3602
(301) 549-3605
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/18/2007
Last updated
08/22/2020
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