Organization
THE CARE GROUP AT SAFE HARBOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA GALLAGHER (CREDENTIALING COORDINATOR)
(410) 893-4600
Entity
Organization
Contact information
Practice address
1208 E CHURCHVILLE RD, SUITE 300, BEL AIR, MD 21014-3442
(410) 893-4600
(443) 640-4358
Mailing address
1208 E CHURCHVILLE RD, SUITE 300, BEL AIR, MD 21014-3442
(410) 893-4600
(443) 640-4358
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
387081
MEDICARE
MD
05
—
7837062
—
MD
Enumeration date
08/29/2016
Last updated
08/29/2016
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