NPI 1316061856

Act IV

Organisation Case Management Agency Laurel, MD

Practice location

Address: 10005 Lawrence Pond CT, Laurel, MD 20708-3049
Phone: (301) 362-1771

Authorised official

Name: Carroll Parks
Title: Director of Adult Services
Phone: (202) 698-2525

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence H423356201579 (MD)

Other Case Management providers in Maryland →

Registry record

NPI: 1316061856
Entity type: Organization
NPI issued: 19 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.