Provider Demographics
NPI:1639457302
Name:TOTAL HEALTH RESOURCES, INC.
Entity Type:Organization
Organization Name:TOTAL HEALTH RESOURCES, INC.
Other - Org Name:THR MENTAL HEALTH & SUBSTANCE ABUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSENIR
Authorized Official - Middle Name:MUNIZ
Authorized Official - Last Name:GERACI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:301-439-7200
Mailing Address - Street 1:1717 ELTON RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-1703
Mailing Address - Country:US
Mailing Address - Phone:301-439-7200
Mailing Address - Fax:301-439-5556
Practice Address - Street 1:1717 ELTON RD
Practice Address - Street 2:SUITE 210
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-1703
Practice Address - Country:US
Practice Address - Phone:301-439-7200
Practice Address - Fax:301-439-5556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-29
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD903878251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD554002000Medicaid