Organization
SAFE HARBOR CHRISTIAN COUNSELING OF CECIL COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EULAR GIBBS (DIRECTOR)
(410) 893-4600
Entity
Organization
Contact information
Practice address
718 BRIDGE ST, ELKTON, MD 21921
(410) 893-4600
(443) 640-4358
Mailing address
PO BOX 109, BEL AIR, MD 21014-0109
(410) 893-4600
(443) 640-4358
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
415528
MEDICARE PTAN
MD
Enumeration date
10/02/2015
Last updated
10/02/2015
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