Organization
VETERANS ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE JJ FONTENOT CPMSM, CPCS (SUPERVISOR, VAMHCS, MEDICAL STAFF)
(410) 605-7347
Entity
Organization
Contact information
Practice address
1-H CIRCLE DRIVE, PERRY POINT, MD 21902
(410) 642-2411
Mailing address
3 BRIDGE DRIVE, JOPPATOWNE, MD 21085-4507
(410) 679-5275
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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