Healthcare Provider Details

I. General information

NPI: 1114845096
Provider Name (Legal Business Name): HOWARD COUNTY MARYLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9755 PATUXENT WOODS DR STE 302
COLUMBIA MD
21046-2286
US

IV. Provider business mailing address

9755 PATUXENT WOODS DR STE 302
COLUMBIA MD
21046-2286
US

V. Phone/Fax

Practice location:
  • Phone: 410-313-3684
  • Fax: 410-313-5960
Mailing address:
  • Phone: 410-313-3684
  • Fax: 410-313-5960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MARK SLATER
Title or Position: CONTINUUM OF CARE MANAGER
Credential:
Phone: 410-313-3684