Organization
COMMUNITY COUNSELING & MENTORING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY D CARVANA SR. (PRESIDENT & CEO)
(301) 583-0001
Entity
Organization
Contact information
Practice address
1300 MERCANTILE LN, SUITE 208, LARGO, MD 20774-5327
(301) 583-0001
(301) 583-3403
Mailing address
1300 MERCANTILE LN, SUITE 208, LARGO, MD 20774-5327
(301) 583-0001
(301) 583-3403
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304403300
—
MD
Enumeration date
06/17/2006
Last updated
12/21/2016
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