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Organization

FAMILY TRAUMA SERVICES, INC.

Active
Other names
Family Trauma Services of Maryland, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
WAYNE D PARKS (DIRECTOR)
(301) 306-6306
Entity
Organization

Contact information

Practice address
9470 ANNAPOLIS RD, SUITE 209, LANHAM, MD 20706-3025
(301) 306-6306
(301) 306-6304
Mailing address
PO BOX 2065, ROCKVILLE, MD 20847-2065
(301) 306-6306
(301) 306-6306

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
521170101
MD
Enumeration date
06/20/2007
Last updated
06/17/2008
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