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General NPI Number Information
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NPI Number | 1568000248
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Entity Type | Organization
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Legal Business Name | ROCK CREEK FOUNDATION FOR MENTAL HEALTH INC
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Dates
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Enumeration Date | 12/13/2019
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Last Update Date | 09/07/2025
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Provider Practice Location Address
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Address Line | 4355 NICOLE DR STE E
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City | LANHAM
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State | MD
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Zip | 20706-4349
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Country | US
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Telephone | 301-586-0900
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Fax | 240-516-0391
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Provider Business Mailing Address
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Address Line | 12200 TECH RD STE 330
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City | SILVER SPRING
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State | MD
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Zip | 20904-1913
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Country | US
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Telephone | 301-572-6585
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Fax | 240-516-0391
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Authorized Official
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Title or Position | A/R BILLING COORDINATOR
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Name | MS. THERESA ANTIONETTE JACKSON
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Credential |
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Telephone | 240-671-8902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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