| Deptment Of Juvenile Services | |
|
10700 15 Mile Crk Road Flintstone MD 21530-3038 | |
| (301) 478-3069 | |
| (301) 478-3009 |
| Full Name | Deptment Of Juvenile Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10700 15 Mile Crk Road, Flintstone, Maryland |
| Authorized Official Name and Position | Tammy Lynn Fisher (ADMINISTRATOR-CLINICAL SUPERVISOR) |
| Authorized Official Contact | 3014783069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deptment Of Juvenile Services 10700 15 Mile Crk Road Flintstone MD 21530-3038 Ph: (301) 478-3069 | Deptment Of Juvenile Services 10700 15 Mile Crk Road Flintstone MD 21530-3038 Ph: (301) 478-3069 |
| NPI Number | 1750502829 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750502829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |