Organization
VISIONARY COMMUNITY SERVICES
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
KOURTNEY HUNTER-SAMS (OWNER)
(410) 812-0829
Entity
Organization
Contact information
Practice address
7004 SECURITY BLVD STE 300A-17, WINDSOR MILL, MD 21244-2557
(410) 812-0829
Mailing address
7004 SECURITY BLVD STE 300A-17, WINDSOR MILL, MD 21244-2557
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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