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Organization

QUEEN ANNE'S COUNTY HEALTH DEPARTMENT

Active
Parent organization
QUEEN ANNE'S COUNTY HEALTH DEPARTMENT
Other names
Queen Anne's County Alcohol and Drug Abuse Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
QUEEN ANNE'S COUNTY HEALTH DEPARTMENT
Authorized official
MR. GARY B FRY LCADC (DIRECTOR)
(410) 758-1306
Entity
Organization

Contact information

Practice address
205 N LIBERTY ST, CENTREVILLE, MD 21617-1022
(410) 758-1306
(410) 758-2133
Mailing address
206 N COMMERCE ST, CENTREVILLE, MD 21617-1049
(410) 758-1306
(410) 758-2133

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
750325
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019364
VALUE OPTIONS
MD
05
423239900
MD
01
H93
BC&BS
MD
Enumeration date
12/05/2014
Last updated
01/16/2015
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