Basic Information
| Provider Information | |||||||||
| NPI: | 1780129239 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CONTEMPORARY FAMILY SERVICES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20400 OBSERVATION DR | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | GERMANTOWN | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208764085 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2403751957 | ||||||||
| FaxNumber: | 2406861972 | ||||||||
| Practice Location | |||||||||
| Address1: | 20400 OBSERVATION DR | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | GERMANTOWN | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208764085 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2403751957 | ||||||||
| FaxNumber: | 2406861972 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/19/2016 | ||||||||
| LastUpdateDate: | 12/19/2016 | ||||||||
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| AuthorizedOfficialLastName: | MONROE | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
| AuthorizedOfficialMiddleName: | LEWIS | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 2403751957 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | JR. | ||||||||
| AuthorizedOfficialCredential: | DSW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3245S0500X | N | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | 324500000X | Y | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
No ID Information.