San Mar Community Services Inc.
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Boonsboro, MD
NPI 1679932354 · NPPES record last updated Feb 23, 2016
Key facts
- NPI
- 1679932354
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- SAN MAR COMMUNITY SERVICES INC.
- Practice address
- 8504 Mapleville Rd
Boonsboro, MD 21713-1817 - Phone
- (301) 733-9067
- Fax
- (301) 733-3114
- NPI assigned
- Feb 23, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- SAN MAR INCORPORATED
Authorized official
- Name
- Bruce Anderson
- Title
- Ceo
- Phone
- (301) 733-9067
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- San Mar Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | MD | Yes |
Addresses
Primary practice location
8504 Mapleville Rd
Boonsboro, MD 21713-1817
Mailing address
8504 Mapleville Rd
Boonsboro, MD 21713-1817
Phone (301) 733-9067
NPI Registry JSON
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456185600000",
"number": "1679932354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8504 MAPLEVILLE RD",
"city": "BOONSBORO",
"state": "MD",
"postal_code": "217131817",
"telephone_number": "301-733-9067",
"fax_number": "301-733-3114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8504 MAPLEVILLE RD",
"city": "BOONSBORO",
"state": "MD",
"postal_code": "217131817",
"telephone_number": "301-733-9067",
"fax_number": "301-733-3114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN MAR COMMUNITY SERVICES INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAN MAR INCORPORATED",
"enumeration_date": "2016-02-23",
"last_updated": "2016-02-23",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-733-9067"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boonsboro, MD
- Amber Faye Rupert
- Pamela Rutherford
- Safe Harbor Christian Counseling
- Bilaal Saif
- San Mar Children'S Home
- San Mar Inc
- Joseph J Scalese III
- Vivian S Sewell
- Sean Robert Michael Sims
- Gina Sipes
All providers in Boonsboro, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.