| Organization Name: | MARYLAND DRIVER SERVICES, LLC |
| NPI Number: | 1659789154 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CASEY MARY MCCALL (OWNER/ADMINISTRATOR) |
| Mailing Address: | 1157 Reece Rd Severn |
| State: | MD US |
| Postal Code: | 211442423 |
| Phone Number: | 4107773656 |
| Fax Number: | 4105551150 |
| NPI Enumeration Date: | 07/28/2014 |
| NPI Last Update Date: | 07/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |