| NPI | 1306851837 |
|---|---|
| Other Name | CCS MAIN GROUP BILLING |
| Entity Type | Organization |
| Authorized Contact | MARK D DONOVAN CEO 410-740-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker Clinical | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2021-10-28 |