Organization
KENT COUNTY HEALTH DEPT.
Active
Organization
KENT COUNTY HEALTH DEPT.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW PONS (DIRECTOR)
(410) 778-6404
Entity
Organization
Contact information
Practice address
300 SCHEELER RD, CHESTERTOWN, MD 21620-1014
(410) 778-6404
(410) 778-5431
Mailing address
300 SCHEELER RD, PO BOX 229, CHESTERTOWN, MD 21620-1014
(410) 778-6404
(410) 778-5431
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
902678
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
753715800
—
MD
Enumeration date
06/21/2007
Last updated
12/21/2017
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