Organization
BOOTSIE CENTER, LLC
Active
Other names
Bootsie Center
Organization subpart
No
Provider details
NPI number
Authorized official
RAKEEDA COMMODORE-JENKINS (LCSW-C)
(410) 474-6546
Entity
Organization
Contact information
Practice address
1925 SCIENTISTS CLIFFS RD, PORT REPUBLIC, MD 20676-2405
(410) 474-6546
Mailing address
1925 SCIENTISTS CLIFFS RD, PORT REPUBLIC, MD 20676-2405
(410) 474-6546
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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