Provider Demographics
NPI:1194324772
Name:STRENGTH, COURAGE & WISDOM BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:STRENGTH, COURAGE & WISDOM BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLEARN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-273-3222
Mailing Address - Street 1:301 MAIN ST STE 2C
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-1957
Mailing Address - Country:US
Mailing Address - Phone:443-273-3222
Mailing Address - Fax:
Practice Address - Street 1:301 MAIN ST STE 2C
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-1957
Practice Address - Country:US
Practice Address - Phone:443-273-3222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health