Southern Maryland Community Network INC

NPI #1073800843 in Waldorf, Maryland

Provider Information

NPI Number: 1073800843
Entity Type: Organization
Organization Name: Southern Maryland Community Network INC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jun 30, 2011
Last Updated: Apr 5, 2017

Practice Location

Address: 2670 CRAIN HWY
Address 2: SUITE #505
City: Waldorf
State: Maryland
ZIP Code: 20601-2806
Phone: (301) 932-9146

Authorized Official

Name: KAREN E CARLONI
Title: EXECUTIVE DIRECTOR
Phone: (410) 535-4787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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