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:
Map and Directions
Authorized official contact:
Name: Humke, Marjorie M.A., L.C.A.D.C.
Phone: (410) 414-9050

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609924877 NPPES
Maryland Other MD-10343401 SAMIS ID

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