Organization
CRESCENT CITIES CHARITIES INC
Active
Other names
Crescent Cities Center
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY GODBEY (SECRETARY)
(301) 567-7076
Entity
Organization
Contact information
Practice address
4409 E WEST HWY, RIVERDALE, MD 20737-1058
(301) 699-2000
Mailing address
4409 E WEST HWY, RIVERDALE, MD 20737-1058
(301) 699-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16039
MD
225X00000X
Occupational Therapist
16039
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073726700
—
MD
Enumeration date
02/17/2017
Last updated
09/13/2017
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