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Organization

PRINCE GEORGE'S COUNTY HEALTH

Active
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Organization

PRINCE GEORGE'S COUNTY HEALTH

Active
Parent organization
PRINCE GEORGES COUNTY HEALTH DEPARTMENT
Other names
Southern Region Treatment Program
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRINCE GEORGES COUNTY HEALTH DEPARTMENT
Authorized official
WRIGHT F DOSS LCSW-C (ASSOCIATE DIRECTOR)
(301) 883-7853
Entity
Organization

Contact information

Practice address
9314 PISCATAWAY RD, CLINTON, MD 20735-3630
(301) 856-9400
Mailing address
9314 PISCATAWAY RD, CLINTON, MD 20735-3630
(301) 856-9400

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
251S00000X
Community/Behavioral Health Agency
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1871632539
NPI - TYPE 50
MD
Enumeration date
10/25/2016
Last updated
10/25/2016
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