Courage To Change Of Southern Maryland
LBN: Courage To Change Of Southern Maryland
Courage To Change Of Southern Maryland is an health care organization with primary practice located at 96 Armory Rd Suite 102, Prince Frederick MD 20678-4117. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty.
Courage To Change Of Southern Maryland can be contacted via phone (410) 414-9050, or through Humke, Marjorie via phone (410) 414-9050.
Contact Information
Primary practice address
96 Armory Rd Suite 102
Prince Frederick MD 20678-4117
Phone: (410) 414-9050
Fax: (410) 414-9060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCA091 | Maryland |
Profile Details
| NPI number | 1609924877 |
|---|---|
| LBN Legal business name | Courage To Change Of Southern Maryland |
| DBA Doing business as | |
| Authorized official | Humke, Marjorie M.A., L.C.A.D.C. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 6th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609924877 | NPPES |
| Maryland | Other | MD-10343401 | SAMIS ID |
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