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Organization

COMMUNITY COUNSELING & MENTORING SERVICES,INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY CARVANA (OWNER)
(301) 583-0001
Entity
Organization

Contact information

Practice address
1400 MERCANTILE LN STE 232, LARGO, MD 20774-5353
(301) 583-0001
Mailing address
1400 MERCANTILE LN STE 232, LARGO, MD 20774-5353
(301) 583-0001

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
304403301
MD
Enumeration date
06/30/2008
Last updated
06/30/2008
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