Organization
ARCHWAY STATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MOORE (BEHAVIORAL HEALTH PROGRAM DIRECTOR)
(301) 777-1700
Entity
Organization
Contact information
Practice address
45 QUEEN ST., CUMBERLAND, MD 21502
(301) 777-1700
(301) 724-1209
Mailing address
45 QUEEN ST, CUMBERLAND, MD 21502
(301) 777-1700
(301) 724-1209
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
07/17/2006
Last updated
04/20/2023
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