Organization
WE CARE ARUNDEL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT GARRETT BOWMAN CAC-AD (ADMINISTRATIVE DIRECTOR)
(410) 259-4985
Entity
Organization
Contact information
Practice address
13A AQUAHART RD, GLEN BURNIE, MD 21061-3901
(410) 766-9668
(410) 766-9673
Mailing address
13A AQUAHART RD, GLEN BURNIE, MD 21061-3901
(410) 766-9668
(410) 766-9673
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
14797
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
521900100
—
MD
01
—
MD10072M
FDA ID NUMBER
MD
Enumeration date
01/10/2007
Last updated
10/24/2011
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