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Organization

COMMUNITY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANUARY LEVERE-WANZER (OWNER)
(240) 459-8423
Entity
Organization

Contact information

Practice address
8101 SANDY SPRING RD STE 250IJK, LAUREL, MD 20707-3596
(240) 459-8423
(419) 931-9255
Mailing address
8101 SANDY SPRING RD STE 250IJK, LAUREL, MD 20707-3596
(240) 459-8423
(419) 931-9255

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MD

Other

Enumeration date
02/22/2012
Last updated
06/04/2020
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