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Organization

SOUTH COUNTY ADDICTION CLINIC

Active
Parent organization
ANNE ARUNDEL COUNTY DEPARTMENT OF HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
ANNE ARUNDEL COUNTY DEPARTMENT OF HEALTH
Authorized official
VICKEY RICHARDSON R.N. (CO-PROGRAM MANAGER)
(410) 222-6001
Entity
Organization

Contact information

Practice address
839 BESTGATE ROAD, SUITE 300, ANNAPOLIS, MD 21401
(410) 222-6001
(410) 222-2113
Mailing address
839 BESTGATE ROAD, SUITE 300, ANNAPOLIS, MD 21401
(410) 222-6001
(410) 222-2113

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
750171400
MD
Enumeration date
06/27/2016
Last updated
07/21/2022
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