Adolescent and Family Services/mental Health

NPI #1134527872 in Glen Burnie, Maryland

Provider Information

NPI Number
1134527872
Entity Type
Organization
Organization Name
Adolescent and Family Services/mental Health
Subpart
Yes (part of a larger organization)
Parent Organization
ANNE ARUNDEL COUNTY DEPT. OF HEALTH
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Dec 11, 2014
Last Updated
Dec 11, 2014

Practice Location

Address
122 LANGLEY RD N
Address 2
STE A
ZIP Code
21060-6531
Phone
(410) 222-6785

Authorized Official

Name
TIMOTHY LAURESKA
Title
DEPUTY HEALTH OFFICER/OPERATIONS
Phone
(410) 222-7377

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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