Organization
COMMUNITY COUNSELING & MENTORING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY D CARVANA SR. MA (PRESIDENT & CEO)
(301) 583-0001
Entity
Organization
Contact information
Practice address
1300 MERCANTILE LN, SUITE 208, LARGO, MD 20774-5327
(301) 583-0001
Mailing address
1300 MERCANTILE LN, SUITE 208, LARGO, MD 20774-5327
(301) 583-0001
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
100445
MD
Other
Enumeration date
04/23/2015
Last updated
12/21/2016
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