| Clean And Sober | |
|
3475 Leonardtown Rd Suite 102 Waldorf MD 20601-3678 | |
| (301) 932-9720 | |
| (301) 932-9343 |
| Full Name | Clean And Sober |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3475 Leonardtown Rd, Waldorf, Maryland |
| Authorized Official Name and Position | Fritz Lindroth Schmidt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4102686800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clean And Sober 3475 Leonardtown Rd Suite 102 Waldorf MD 20601-3678 Ph: (301) 932-9720 | Clean And Sober 3475 Leonardtown Rd Suite 102 Waldorf MD 20601-3678 Ph: (301) 932-9720 |
| NPI Number | 1437208535 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 09/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437208535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15663 (Maryland) | Primary |
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