| NPI | 1164820601 |
|---|---|
| Other Name | CCS COLUMBIA-FACILITY (MEDICAID) |
| Entity Type | Organization |
| Authorized Contact | AMY ROTTIER CFO 410-740-8066 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2021-10-28 |