NPI 1457885709

Southern Maryland Community Network, INC.

Organisation Mental Illness Community Based Residential Treatment Facility Waldorf, MD

Practice location

Address: 2670 Crain Hwy Suite #505, Waldorf, MD 20601-2806
Phone: (301) 932-9146
Fax: (301) 932-9361
Mailing address: PO Box 998, Prince Frederick, MD 20678-0998

Authorised official

Name: Karen E Carloni
Title: Executive Director
Phone: (410) 535-4787

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: 1457885709
Entity type: Organization
NPI issued: 13 Apr 2017
Record last updated: 13 Apr 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.