Organization
CARTERS COMPREHENSIVE SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN NICOLE GILLOM-CARTER MHS,MS, HS-BCP (OWNER/ CEO)
(240) 412-7039
Entity
Organization
Contact information
Practice address
2311 PINEFIELD RD, WALDORF, MD 20601-3235
(240) 412-7039
Mailing address
2311 PINEFIELD RD, WALDORF, MD 20601-3235
(240) 412-7039
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/19/2017
Last updated
12/22/2022
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