| Organization Name: | SAFE HARBOR CHRISTIAN COUNSELING OF ANNAPOLIS |
| NPI Number: | 1831568039 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SELENA ELDRIDGE (DIRECTOR) |
| Mailing Address: | 8146 Quarterfield Rd Severn |
| State: | MD US |
| Postal Code: | 211442705 |
| Phone Number: | 4108934600 |
| Fax Number: | 4436404358 |
| NPI Enumeration Date: | 09/17/2015 |
| NPI Last Update Date: | 09/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |