Organization
HARWOOD BEHAVIORAL HEALTH II LLC
Active
Parent organization
CCG HOLDCO LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CCG HOLDCO LLC
Authorized official
ERIC SHAPIRO (CFO)
(667) 239-3293
Entity
Organization
Contact information
Practice address
1275 W PULASKI HWY STE B, ELKTON, MD 21921-4719
(667) 239-3293
Mailing address
3905 NATIONAL DR, BURTONSVILLE, MD 20866-1100
(667) 239-3293
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
08/30/2023
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