NPI 1013050061

Psychotherapeutic Treatment Services

Organisation Mental Illness Community Based Residential Treatment Facility Annapolis, MD

Practice location

Address: 839 Bestgate Rd Suite 400a, Annapolis, MD 21401-3472
Phone: (410) 224-1188
Fax: (410) 224-3711
Mailing address: 870 High St Suite 2, Chestertown, MD 21620-3914

Authorised official

Name: Randall L Cooper
Title: Chief Financial Officer
Phone: (410) 810-2468

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Maryland →

Registry record

NPI: 1013050061
Entity type: Organization
NPI issued: 15 Feb 2007
Record last updated: 16 Feb 2017

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.