Organization
SAFE HARBOR CHRISTIAN COUNSELING OF CECIL COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA GARCI (CREDENTIALING MANAGER)
(410) 893-4600
Entity
Organization
Contact information
Practice address
35 SYLMAR RD, RISING SUN, MD 21911-1918
(410) 893-4600
(443) 644-0435
Mailing address
PO BOX 109, BEL AIR, MD 21014-0109
(410) 893-4600
(443) 640-4358
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
415528
MEDICARE
MD
05
—
9772022
—
MD
Enumeration date
08/19/2016
Last updated
08/19/2016
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