Organization
FIELDS AND FIELDS TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD E FIELDS SR. (CHIEF EXECUTIVE OFFICER)
(240) 788-6125
Entity
Organization
Contact information
Practice address
1450 MERCANTILE LN STE 221, LARGO, MD 20774-5376
(240) 788-6125
(240) 788-6156
Mailing address
13602 GENTRY CT, MONTPELIER, MD 20708-1330
(240) 788-6125
(240) 788-6156
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1639
MD
261QM0855X
Adolescent and Children Mental Health Clinic/Center
1639
MD
Other
Enumeration date
09/15/2015
Last updated
08/06/2021
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