Provider Demographics
NPI:1558556977
Name:APPALACHIAN PARENT ASSOCIATION
Entity Type:Organization
Organization Name:APPALACHIAN PARENT ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR DAY PROGRAMS
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLINGSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-334-8449
Mailing Address - Street 1:39 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550-1522
Mailing Address - Country:US
Mailing Address - Phone:301-334-8449
Mailing Address - Fax:301-334-9633
Practice Address - Street 1:39 S 3RD ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550-1522
Practice Address - Country:US
Practice Address - Phone:301-334-8449
Practice Address - Fax:301-334-9633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12673251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health