Organization
CORSICA RIVER MENTAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN F. PLASKON (EXECUTIVE DIRECTOR)
(410) 758-3050
Entity
Organization
Contact information
Practice address
120 BANJO LN, CENTREVILLE, MD 21617-1002
(410) 758-2211
(410) 758-0698
Mailing address
120 BANJO LN, CENTREVILLE, MD 21617-1002
(410) 758-2211
(410) 758-0698
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
905641
MD
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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