Organization
ANNE ARUNDEL COUNTY DEPT OF HEALTH
Active
Parent organization
ANNE ARUNDEL COUNTY DEPARTMENT OF HEALTH
Other names
Adult Addiction Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANNE ARUNDEL COUNTY DEPARTMENT OF HEALTH
Authorized official
VICKEY RICHARDSON R.N. (CO-PROGRAM MANAGER)
(410) 222-6001
Entity
Organization
Contact information
Practice address
122 LANGLEY ROAD NORTH, SUITE B, GLEN BURNIE, MD 21060
(410) 222-0100
(410) 222-0116
Mailing address
122 LANGLEY ROAD NORTH, SUITE B, GLEN BURNIE, MD 21060
(410) 222-0100
(410) 222-0116
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265521700
—
MD
05
—
750171400
—
MD
Enumeration date
02/14/2006
Last updated
06/21/2017
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