Living Water Program
NPI #1619144854 in Huntingtown, Maryland
Provider Information
- NPI Number
- 1619144854
- Entity Type
- Organization
- Organization Name
- Living Water Program
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- May 15, 2008
- Last Updated
- Jan 31, 2017
Practice Location
- Address
- 125 THOMAS GANTT RD
- City
- Huntingtown
- State
- Maryland
- ZIP Code
- 20639-8545
- Phone
- (301) 855-1458
Authorized Official
- Name
- MRS. GLINDA C. ANDERSON, MA
- Title
- CLINCIAL DIRECTOR
- Phone
- (301) 855-1458
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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