Organization Name: | TRICO CLINICAL SERVICES, LTD |
NPI Number: | 1548440555 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM E ARICK (PRESIDENT TRICO CLINICAL SERVICES L) |
Mailing Address: | 46940 S. Shangri La Drive Lexington Park |
State: | MD US |
Postal Code: | 20653 |
Phone Number: | 3018624961 |
Fax Number: | 3018625554 |
NPI Enumeration Date: | 11/07/2007 |
NPI Last Update Date: | 06/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |