NPI 1003148743

Life Support Clinical Counseling Service

Organisation Community/Behavioral Health Agency Hanover, MD

Practice location

Address: 1759 Allerford Dr, Hanover, MD 21076-1798
Phone: (410) 980-3163

Authorised official

Name: Alice Rita Hunley
Title: Director
Phone: (410) 980-3163

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence LC3192 (MD)

Other Community/Behavioral Health providers in Maryland →

Registry record

NPI: 1003148743
Entity type: Organization
NPI issued: 5 Feb 2010
Record last updated: 5 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.