| NPI | 1194318196 |
|---|---|
| Other Name | CCS ROCKVILLE - MEDICAID (FACILITY) |
| Entity Type | Organization |
| Authorized Contact | MARK DAVID DONOVAN CEO 410-740-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-10-28 |