Organization Name: | SAN MAR CHILDREN'S HOME |
NPI Number: | 1659739720 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRUCE T ANDERSON (CEO) |
Mailing Address: | 8504 Mapleville Road Boonsboro |
State: | MD US |
Postal Code: | 21713 |
Phone Number: | 3017339067 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2016 |
NPI Last Update Date: | 02/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |