Organization
COMMUNITY RESIDENCES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY HURLEY (VP OF OPERATIONS, CFO)
(703) 842-2300
Entity
Organization
Contact information
Practice address
7477 BALTIMORE ANNAPOLIS BLVD, SUITE 203, GLEN BURNIE, MD 21061-3504
(410) 760-2250
(410) 760-6670
Mailing address
14160 NEWBROOK DR, SUITE 100, CHANTILLY, VA 20151-2297
(703) 842-2300
(703) 842-2341
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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