Organization
LOWER SHORE CLINIC, INC.
Active
Parent organization
LOWER SHORE CLINIC, INC.
Other names
Corsica River Mental Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOWER SHORE CLINIC, INC.
Authorized official
TUESDAY TROTT (ADMINISTRATOR)
(410) 341-3420
Entity
Organization
Contact information
Practice address
120 BANJO LN, CENTREVILLE, MD 21617-1002
(410) 341-3420
(410) 341-3397
Mailing address
716 N DIVISION ST, SALISBURY, MD 21801-4156
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
23646
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298470901
—
MD
Enumeration date
08/28/2009
Last updated
09/03/2009
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