Organization
CCHD - SUBSTANCE ABUSE SRVCS - BARSTOW
Active
Parent organization
CALVERT SUBSTANCE ABUSE SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALVERT SUBSTANCE ABUSE SERVICES
Authorized official
MRS. DORIS J. MCDONALD MA, LCADC, LCDC (BEHAVIORAL HEALTH DIRECTOR)
(410) 535-3079
Entity
Organization
Contact information
Practice address
280 STAFFORD ROAD, BARSTOW, MD 20610
(410) 535-3079
(410) 535-2220
Mailing address
P.O. BOX 1158, PRINCE FREDERICK, MD 20678
(410) 535-3079
(410) 535-2220
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
12086
MD
Other
Enumeration date
01/11/2006
Last updated
07/10/2015
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