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Organization

SOUTHERN MARYLAND COMMUNITY NETWORK INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN E CARLONI (EXECUTIVE DIRECTOR)
(410) 535-4787
Entity
Organization

Contact information

Practice address
41900 FENWICK ST, SUITE #5, LEONARDTOWN, MD 20650-3814
(301) 475-9315
(301) 475-9317
Mailing address
PO BOX 998, PRINCE FREDERICK, MD 20678-0998
(410) 535-4787
(410) 535-4965

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2578417 02
MD
Enumeration date
08/05/2010
Last updated
04/05/2017
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