Organization
CHILD CENTER AND ADULT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY E EBB LCSWC JD (CO DIRECTOR)
(301) 978-9750
Entity
Organization
Contact information
Practice address
16220 S FREDERICK AVENUE, SUITE 502, GAITHERSBURG, MD 20877-4022
(301) 978-9750
(301) 978-9753
Mailing address
16220 S FREDERICK AVENUE, SUITE 502, GAITHERSBURG, MD 20877-4022
(301) 978-9750
(301) 978-9753
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063210400
—
MD
Enumeration date
11/28/2006
Last updated
07/25/2012
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