NPI 1548807423

Southern Maryland Community Network, INC

Organisation Mental Illness Community Based Residential Treatment Facility Waldorf, MD

Practice location

Address: 2670 Crain Hwy STE 505, Waldorf, MD 20601-2819
Phone: (301) 932-9146
Fax: (301) 932-9361
Mailing address: PO Box 998, Prince Frederick, MD 20678-0998

Authorised official

Name: Michael Radcliff
Title: Operations 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: 1548807423
Entity type: Organization
NPI issued: 10 Dec 2019
Record last updated: 10 Dec 2019

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.