Organization
ST. JOHN'S COMMUNITY SERVICES MARYLAND
Active
Parent organization
ST. JOHN'S COMMUNITY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. JOHN'S COMMUNITY SERVICES
Authorized official
MR. RICHARD C. BENNETT (CHIEF STRATEGIC INITIATIVES OFFICER)
(607) 592-2842
Entity
Organization
Contact information
Practice address
1406 MERGANSER CT, UPPER MARLBORO, MD 20774-7021
(301) 218-0915
Mailing address
2201 WISCONSIN AVE NW, WASHINGTON, DC 20007-4105
(202) 237-6391
(202) 237-6352
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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