Adolescent and Family Services/addictions

NPI #1902175128 in Annapolis, Maryland

Provider Information

NPI Number
1902175128
Entity Type
Organization
Organization Name
Adolescent and Family Services/addictions
Subpart
Yes (part of a larger organization)
Parent Organization
ANNE ARUNDEL COUNTY DEPT. OF HEALTH
Primary Specialty
Clinic/Center
Enumeration Date
Dec 16, 2011
Last Updated
Dec 11, 2014

Practice Location

Address
3 HARRY S TRUMAN PKWY
Address 2
HD#19
ZIP Code
21401-7031
Phone
(410) 222-7135

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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