Provider Demographics
NPI:1568000248
Name:ROCK CREEK FOUNDATION FOR MENTAL HEALTH INC
Entity type:Organization
Organization Name:ROCK CREEK FOUNDATION FOR MENTAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:A/ R SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-572-6585
Mailing Address - Street 1:12200 TECH RD STE 330
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1913
Mailing Address - Country:US
Mailing Address - Phone:301-572-6585
Mailing Address - Fax:240-516-0391
Practice Address - Street 1:4372 LOTTSFORD VISTA RD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4817
Practice Address - Country:US
Practice Address - Phone:301-292-2171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-13
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health