Provider Demographics
NPI:1487813192
Name:ST MAR'S COUNTY DEPT OF HUMAN SERVICES
Entity type:Organization
Organization Name:ST MAR'S COUNTY DEPT OF HUMAN SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:OHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:301-475-4200
Mailing Address - Street 1:PO BOX 653
Mailing Address - Street 2:DEPARTMENT OF HUMAN SERVICES
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-0653
Mailing Address - Country:US
Mailing Address - Phone:301-475-4200
Mailing Address - Fax:301-475-4082
Practice Address - Street 1:23115 LEONARD HALL DRIVE
Practice Address - Street 2:DEPARTMENT OF HUMAN SERVICES
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650
Practice Address - Country:US
Practice Address - Phone:301-475-4200
Practice Address - Fax:301-475-4082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare