Organization
ORCHARD COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA ETTI (ADMINISTRATOR/MEMBER)
(845) 893-7012
Entity
Organization
Contact information
Practice address
2605 BEECH ORCHARD LN, UPPER MARLBORO, MD 20774-8851
(845) 893-7012
Mailing address
2605 BEECH ORCHARD LN, UPPER MARLBORO, MD 20774-8851
(845) 893-7012
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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