Basic Information
Provider Information
NPI: 1962892513
EntityType: 2
ReplacementNPI:  
OrganizationName: ARROW CHILD & FAMILY MINISTRIES OF MARYLAND
LastName:  
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Credential:  
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Mailing Information
Address1: 2929 FM 2920 RD
Address2:  
City: SPRING
State: TX
PostalCode: 773883428
CountryCode: US
TelephoneNumber: 2812101500
FaxNumber: 2812101564
Practice Location
Address1: 1605 CROMWELL BRIDGE RD
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212341416
CountryCode: US
TelephoneNumber: 4108829133
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/03/2015
LastUpdateDate: 01/31/2021
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: SAUERS
AuthorizedOfficialFirstName: ANJANETTE
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: DIRECTOR OF FINANCE
AuthorizedOfficialTelephone: 2812101527
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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NPICertificationDate: 01/31/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251S00000X  Y AgenciesCommunity/Behavioral Health 

No ID Information.


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