OrganizationActive
Adolescent and Family Services/Addictions
NPI 1902175128 · Clinic/Center · Annapolis, MD
Provider details
- NPI number
- 1902175128
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Anne Arundel County Dept. of Health
- Authorized official
- Timothy Laureska, Deputy Health Officer/Operations
- License
- 904875 (MD)
Practice location
3 Harry S Truman Pkwy
Hd#19
Annapolis, MD 21401-7031
Phone: (410) 222-7135
Fax: (410) 222-4173
Mailing address
122 Langley Rd N
Glen Burnie, MD 21060-6531
Registry dates
- Enumerated
- 2011-12-16
- Last updated
- 2014-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.