| Organization Name: | CORSICA RIVER MENTAL HEALTH SERVICES, INC. |
| NPI Number: | 1225412588 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN F. PLASKON (EXECUTIVE DIRECTOR) |
| Mailing Address: | 933 S Talbot St Suite 4 St Michaels |
| State: | MD US |
| Postal Code: | 216632604 |
| Phone Number: | 4107458028 |
| Fax Number: | |
| NPI Enumeration Date: | 07/16/2015 |
| NPI Last Update Date: | 07/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | 905642 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |