Provider Demographics
NPI:1497013585
Name:QUALITY CARE INTERNET, LLP
Entity Type:Organization
Organization Name:QUALITY CARE INTERNET, LLP
Other - Org Name:QCI BEHAVIORAL HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MILLIE
Authorized Official - Middle Name:P
Authorized Official - Last Name:RICHMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-643-3975
Mailing Address - Street 1:PO BOX 2525
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20604-2525
Mailing Address - Country:US
Mailing Address - Phone:301-643-3975
Mailing Address - Fax:301-812-0207
Practice Address - Street 1:201 N BURHANS BLVD
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-4677
Practice Address - Country:US
Practice Address - Phone:301-643-3975
Practice Address - Fax:301-812-0207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-26
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD782540401Medicaid