Organization
BLUE ROSE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL LORRAINE MILES-RUFFIN LCSW-C (DIRECTOR)
(410) 396-1392
Entity
Organization
Contact information
Practice address
8004 RED JACKET WAY, JESSUP, MD 20794-9004
(443) 629-9661
Mailing address
8004 RED JACKET WAY, JESSUP, MD 20794-9004
(443) 629-9661
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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