Organization
ALLEGANY COUNTY HEALTH DEPARTMENT
Active
Parent organization
ALLEGANY COUNTY HEALTH DEPARTMENT
Other names
ACHD-Mobile Treatment
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLEGANY COUNTY HEALTH DEPARTMENT
Authorized official
DR. SUE RAVER MD, MPH (HEALTH OFFICER)
(301) 759-5001
Entity
Organization
Contact information
Practice address
12501 WILLOWBROOK RD, CUMBERLAND, MD 21502-2569
(301) 759-5280
(301) 777-5630
Mailing address
PO BOX 1745, CUMBERLAND, MD 21501-1745
(301) 759-5000
(301) 777-5674
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4312
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418763600
—
MD
05
—
935782300
—
MD
Enumeration date
11/20/2009
Last updated
02/24/2010
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