Organization
COLLECTIVE TRANSFORMATION HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA ACQUAH (PROGRAM DIRECTOR)
(410) 956-6000
Entity
Organization
Contact information
Practice address
1642 SHADY SIDE DR., EDGEWATER, MD 21037
(410) 401-3621
Mailing address
1642 SHADY SIDE DR, EDGEWATER, MD 21037-1934
(410) 956-6000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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