Provider Demographics
NPI:1386463842
Name:ANNE ARUNDEL COUNTY, MARYLAND
Entity type:Organization
Organization Name:ANNE ARUNDEL COUNTY, MARYLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATION OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-222-2878
Mailing Address - Street 1:7320 RITCHIE HIGHWAY
Mailing Address - Street 2:ATTN: ALAGRA BASS OR JOELLE RIDGEWAY/MENTAL HEALTH PROG
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061
Mailing Address - Country:US
Mailing Address - Phone:443-760-7916
Mailing Address - Fax:410-222-4360
Practice Address - Street 1:2666 RIVA RD SUITE 400
Practice Address - Street 2:ATTN: ALAGRA BASS OR JOELLE RIDGEWAY/MENTAL HEALTH PROG
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401
Practice Address - Country:US
Practice Address - Phone:410-222-4257
Practice Address - Fax:410-222-4360
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANNE ARUNDEL COUNTY, MD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251B00000XAgenciesCase Management