Provider Demographics
NPI:1992928105
Name:TOTAL HEALTH RESOURCES INC
Entity type:Organization
Organization Name:TOTAL HEALTH RESOURCES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSENIR
Authorized Official - Middle Name:MUNIZ
Authorized Official - Last Name:GERACI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:301-439-7200
Mailing Address - Street 1:1011 UNIVERSITY BLVD E
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-3706
Mailing Address - Country:US
Mailing Address - Phone:301-439-7200
Mailing Address - Fax:301-439-5556
Practice Address - Street 1:1011 UNIVERSITY BLVD E
Practice Address - Street 2:SUITE 101
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-3706
Practice Address - Country:US
Practice Address - Phone:301-439-7200
Practice Address - Fax:301-439-5556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD903042251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD408486100Medicaid