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Organization

CALVERT COUNTY HEALTH DEPARTMENT

Active
Other names
Calvert County Mental Health Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DORIS MCDONALD MA, LCADC, LCPC (DIRECTOR)
(410) 535-3079
Entity
Organization

Contact information

Practice address
975 SOLOMONS ISLAND RD N, SUITE 119, PRINCE FREDERICK, MD 20678-3917
(410) 535-5400
(410) 414-9413
Mailing address
PO BOX 980, PRINCE FREDERICK, MD 20678-0980
(410) 535-5400
(410) 414-9413

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
14170
MD
261QM0855X
Adolescent and Children Mental Health Clinic/Center
14170
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
067984
BEACON HEALTH OPTIONS
MD
05
420968100
MD
Enumeration date
06/04/2012
Last updated
08/09/2016
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