Organization
TRICO CLINICAL SERVICES LTD
Active
Other names
PRPM - Trico
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HELGA C HERTLEIN (ADMINISTRATIVE DIRECTOR)
(301) 862-4961
Entity
Organization
Contact information
Practice address
46940 S SHANGRI LA DR, SUITE 10, LEXINGTON PARK, MD 20653-1037
(301) 862-4961
Mailing address
PO BOX 826, LEXINGTON PARK, MD 20653-0826
(301) 862-4961
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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