Provider First Line Business Practice Location Address:
3 HARRY S TRUMAN PKWY
Provider Second Line Business Practice Location Address:
DEPARTMENT OF HEALTH AND MENTAL HYGIENE
Provider Business Practice Location Address City Name:
ANNAPOLIS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21401-7031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-222-7138
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/21/2007