Healthcare Provider Details

I. General information

NPI: 1932702685
Provider Name (Legal Business Name): VOLUNTEERS OF AMERICA CHESAPEAKE & CAROLINAS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2020
Last Update Date: 05/18/2023
Certification Date: 05/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7505 GREENWAY CENTER DR STE 201
GREENBELT MD
20770-3507
US

IV. Provider business mailing address

4601 PRESIDENTS DR STE 300
LANHAM MD
20706-4832
US

V. Phone/Fax

Practice location:
  • Phone: 240-429-2600
  • Fax:
Mailing address:
  • Phone: 301-459-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VANESSA VALDEZ
Title or Position: PSYCHIATRIC REHABILITATION MANAGER
Credential:
Phone: 240-429-2600