institution
Living Water Program
Addiction (Substance Use Disorder) Counselor in Huntingtown, Maryland
NPI 1619144854

Living Water Program is an Addiction (Substance Use Disorder) Counselor based in Huntingtown, MD and is specialized in Addiction (Substance Use Disorder). Living Water Program practices in Huntingtown, MD. The NPI Number for Living Water Program is 1619144854 and holds a License No. MD10104401 (Maryland).

The current practice location address for Living Water Program is 125 Thomas Gantt Rd, Huntingtown, MD and can be reached out via phone at 301-855-1458 and via fax at 410-535-4505.

Location: 125 Thomas Gantt Rd, Huntingtown, MD, 20639-8545
institution
Provider Profile Details
NPI Number
1619144854
Provider Name
Living Water Program
Credential
Provider Entity Type
Organization
Address
125 Thomas Gantt Rd, Huntingtown, MD, 20639-8545
Phone Number
301-855-1458
Fax Number
410-535-4505
Provider Enumeration Date
05/15/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
4004523 05 MD
institution
Provider Business Practice Location Address Details
Address
125 Thomas Gantt Rd
City
State
Zip
20639-8545
Phone Number
301-855-1458
Fax Number
410-535-4505
person
Provider Business Mailing Address Details
Address
125 Thomas Gantt Rd
City
State
Zip
20639-8545
Phone Number
301-855-1458
Fax Number
410-535-4505
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
MD10104401 (Maryland)
Definition
Definition to come...
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