Organization
PRINCE GEORGE'S COUNTY HEALTH DEPT
Active
Other names
Youth and Community Services Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE MICHAEL KOLARIK DCSW-C (PROGRAM CHIEF)
(301) 883-3510
Entity
Organization
Contact information
Practice address
1801 MCCORMICK DR STE 250, LARGO, MD 20774-5370
(301) 583-0366
Mailing address
1801 MCCORMICK DR STE 250, LARGO, MD 20774-5370
(301) 583-0366
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
903170
MD
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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