Healthcare Provider Details
I. General information
NPI: 1720561822
Provider Name (Legal Business Name): VOLUNTEERS OF AMERICA CHESAPEAKE & CHESAPEAKE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/13/2018
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
- Phone: 301-389-3156
- Fax:
- Phone: 303-459-2020
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARNETTA
LEGREE
Title or Position: SENIOR PROGRAM DIRECTOR
Credential:
Phone: 202-223-9630