Provider First Line Business Practice Location Address:
23115 LEONARD HALL DRIVE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF HUMAN SERVICES
Provider Business Practice Location Address City Name:
LEONARDTOWN
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20650
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-475-4200
Provider Business Practice Location Address Fax Number:
301-475-4082
Provider Enumeration Date:
06/06/2008