Organization
SOUTHERN MARYLAND COMMUNITY NETWORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RADCLIFF (OPERATIONS DIRECTOR)
(410) 535-4787
Entity
Organization
Contact information
Practice address
41900 FENWICK ST STE 5, LEONARDTOWN, MD 20650-3815
(301) 475-9315
(301) 475-9317
Mailing address
PO BOX 998, PRINCE FREDERICK, MD 20678-0998
(410) 535-4787
(410) 535-4965
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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