Provider Demographics
NPI:1245879386
Name:ANNE ARUNDEL COUNTY, MARYLAND
Entity type:Organization
Organization Name:ANNE ARUNDEL COUNTY, MARYLAND
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR, FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:MARY LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOBBITT
Authorized Official - Suffix:
Authorized Official - Credentials:DELEGATED AUTHORITY
Authorized Official - Phone:410-222-3000
Mailing Address - Street 1:3 HARRY S TRUMAN PKWY
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7031
Mailing Address - Country:US
Mailing Address - Phone:410-222-7209
Mailing Address - Fax:
Practice Address - Street 1:711 BESTGATE RD FL 1
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-2453
Practice Address - Country:US
Practice Address - Phone:410-222-6001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANNE ARUNDEL COUNTY, MARYLAND
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-06
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health