Organization
CHARLES COUNTY DEPARTMENT OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA S BOWLING (BILLING MANAGER)
(301) 609-6928
Entity
Organization
Contact information
Practice address
6905 CRAIN HWY, LA PLATA, MD 20646-3956
(301) 609-6609
Mailing address
PO BOX 1050, WHITE PLAINS, MD 20695-1050
(301) 609-6600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422796400
—
MD
01
—
VA04
MEDICARE GROUP PRACTICE
MD
Enumeration date
01/16/2015
Last updated
01/16/2015
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