Provider Demographics
NPI:1851660823
Name:TALBOT COUNTY HEALTH DEPARTMENT ADDICTIONS PROGRAM
Entity Type:Organization
Organization Name:TALBOT COUNTY HEALTH DEPARTMENT ADDICTIONS PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY HEALTH OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-819-5600
Mailing Address - Street 1:100 S HANSON ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-2920
Mailing Address - Country:US
Mailing Address - Phone:410-819-5600
Mailing Address - Fax:410-819-5691
Practice Address - Street 1:100 S HANSON ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-2920
Practice Address - Country:US
Practice Address - Phone:410-819-5600
Practice Address - Fax:410-819-5691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD903058251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare