Provider Demographics
NPI:1336363944
Name:WASHINGTON COUNTY HUMAN DEVELOPMENT COUNCIL, INC.
Entity Type:Organization
Organization Name:WASHINGTON COUNTY HUMAN DEVELOPMENT COUNCIL, INC.
Other - Org Name:HUMAN DEVELOPMENT COUNCIL
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF DAY PROGRAM SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-791-5421
Mailing Address - Street 1:916 N EAST ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4622
Mailing Address - Country:US
Mailing Address - Phone:301-293-6055
Mailing Address - Fax:301-293-6089
Practice Address - Street 1:916 N EAST ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4622
Practice Address - Country:US
Practice Address - Phone:301-293-6055
Practice Address - Fax:301-293-6089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13286261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care