Organization
CERTIFIED COUNSELING SERVICES OF CENTREVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH KEITH JONES (DIRECTOR)
(410) 758-4456
Entity
Organization
Contact information
Practice address
204 BANJO LN STE A, CENTREVILLE, MD 21617-1054
(410) 758-4456
Mailing address
PO BOX 23, CHESTERTOWN, MD 21620-0023
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
LCA449
MD
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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