ARUNDEL LODGE INC NPI 1144872409

NPI Information

ARUNDEL LODGE, INC is a mental health (including community mental health center) clinic center in Annapolis, MD. ARUNDEL LODGE, INC NPI is 1144872409. The provider is registered as an organization entity type.

The provider's business location address is:

92 W WASHINGTON ST
ANNAPOLIS, MD
ZIP 21401-432
Phone: (443) 433-5900
Fax: (410) 841-6045

The provider's authorized official is Cynthia Garmoe .
The authorized official title is Human Resources/credentialing and has the following contact phone number (443) 433-5900.

The CLIA number assigned to this NPI record is 21D2149905 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2019 and was last updated on 7/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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