Organization
PINNACLE CENTER FOR MENTAL HEALTH & HUMAN RELATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES L RUBY PH.D. (GENERAL MANAGER)
(301) 705-7593
Entity
Organization
Contact information
Practice address
603 POST OFFICE RD, SUITE 210, WALDORF, MD 20602-1914
(301) 705-7593
Mailing address
603 POST OFFICE RD, SUITE 210, WALDORF, MD 20602-1914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194401100
—
MD
Enumeration date
05/27/2006
Last updated
03/09/2011
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