Organization
PROJECT CHESAPEAKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA PETERSON (BILLING MANAGER)
(443) 440-5782
Entity
Organization
Contact information
Practice address
21 INDUSTRIAL PARK DR STE 104D, WALDORF, MD 20602-2751
(301) 818-0030
(301) 818-0030
Mailing address
185 ADMIRAL COCHRANE DR STE 120, ANNAPOLIS, MD 21401-7600
(443) 440-5782
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
17401
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
05/10/2023
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