NPI 1023132230

Act IV

Organisation Case Management Agency Brandywine, MD

Practice location

Address: 10951 Poplar Ridge Road, Brandywine, MD 20613
Phone: (301) 579-2482
Mailing address: 19051 Poplar Ridge Rd, Brandywine, MD 20613-3910

Authorised official

Name: Tyrone Fizer
Title: Vocational Specialist
Phone: (202) 645-7256

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence F206809018964 (MD)

Other Case Management providers in Maryland →

Registry record

NPI: 1023132230
Entity type: Organization
NPI issued: 16 Mar 2007
Record last updated: 16 Jun 2008

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.