Provider Demographics
NPI:1194019430
Name:THE ASLAN CENTER OF MARYLAND
Entity Type:Organization
Organization Name:THE ASLAN CENTER OF MARYLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANINE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:240-520-6429
Mailing Address - Street 1:20 W WASHINGTON ST
Mailing Address - Street 2:SUITE 502
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-4817
Mailing Address - Country:US
Mailing Address - Phone:240-347-4888
Mailing Address - Fax:
Practice Address - Street 1:20 W WASHINGTON ST
Practice Address - Street 2:SUITE 502
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-4817
Practice Address - Country:US
Practice Address - Phone:240-347-4888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-03
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health