Organization
AUGUST ROSE HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELLA RODERICK LCPC (CEO)
(443) 906-1156
Entity
Organization
Contact information
Practice address
7477 BALTIMORE ANNAPOLIS BLVD STE 201, GLEN BURNIE, MD 21061-3567
(443) 906-1156
Mailing address
7477 BALTIMORE ANNAPOLIS BLVD STE 201, GLEN BURNIE, MD 21061-3567
(443) 906-1156
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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