Organization Name: | PROJECT CHESAPEAKE LLC |
NPI Number: | 1154770527 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBEKHA ROGERS (OWNER/CLINICAL DIRECTOR) |
Mailing Address: | 5710 Ritchie Hwy Brooklyn Park |
State: | MD US |
Postal Code: | 212253641 |
Phone Number: | 4106365600 |
Fax Number: | 4433788538 |
NPI Enumeration Date: | 06/07/2016 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 17401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |