Organization
ADOLESCENT AND FAMILY SERVICES/ADDICTIONS
Active
Parent organization
ANNE ARUNDEL COUNTY DEPT. OF HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANNE ARUNDEL COUNTY DEPT. OF HEALTH
Authorized official
MR. TIMOTHY LAURESKA (DEPUTY HEALTH OFFICER/OPERATIONS)
(410) 222-7377
Entity
Organization
Contact information
Practice address
3 HARRY S TRUMAN PKWY, HD#19, ANNAPOLIS, MD 21401-7031
(410) 222-7135
(410) 222-4173
Mailing address
122 LANGLEY RD N, STE A, GLEN BURNIE, MD 21060-6531
(410) 222-6725
(410) 222-6888
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
904875
MD
Other
Enumeration date
12/16/2011
Last updated
12/11/2014
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