| Project Chesapeake Llc | |
|
5710 Ritchie Hwy Brooklyn Park MD 21225-3641 | |
| (410) 636-5600 | |
| Not Available |
| Full Name | Project Chesapeake Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 5710 Ritchie Hwy, Brooklyn Park, Maryland |
| Authorized Official Name and Position | Joseph Rogers (PARTNER) |
| Authorized Official Contact | 4434405780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Chesapeake Llc 185 Admiral Cochrane Dr Ste 120 Annapolis MD 21401-7600 Ph: (443) 440-5780 | Project Chesapeake Llc 5710 Ritchie Hwy Brooklyn Park MD 21225-3641 Ph: (410) 636-5600 |
| NPI Number | 1225490808 |
|---|---|
| Provider Enumeration Date | 03/23/2016 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225490808 | NPI | - | NPPES |
| 423286100 | Medicaid | MD | |
| 811842 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17401 (Maryland) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
Project Chesapeake Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5710 Ritchie Hwy, Brooklyn Park, MD 21225 Phone: 410-636-5600 | |
Project Chesapeake, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5710 Ritchie Hwy, Brooklyn Park, MD 21225 Phone: 410-636-5600 | |
Project Chesapeake, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5710 Ritchie Hwy, Brooklyn Park, MD 21225 Phone: 410-636-5600 |