Project Chesapeake LLC
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Prince Frederick, MD
NPI 1912459017 · NPPES record last updated Jun 21, 2022
Key facts
- NPI
- 1912459017
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- PROJECT CHESAPEAKE LLC
- Practice address
- 69 Sherry LN
Prince Frederick, MD 20678-3231 - Phone
- (443) 440-5780
- NPI assigned
- Oct 25, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- PROJECT CHESAPEAKE, LLC
Authorized official
- Name
- Joseph Rogers
- Title
- Partner
- Phone
- (443) 440-5780
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Project Chesapeake LLC
- Part of
- Project Chesapeake LLC
Locations
131 Main St
Ste 2
Prince Frederick, MD 20678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 17401 | MD | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
69 Sherry LN
Prince Frederick, MD 20678-3231
Mailing address
185 Admiral Cochrane Dr Ste 120
Annapolis, MD 21401-7600
Phone (443) 440-5780
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- Project Chesapeake LLC
- Project Chesapeake, LLC
- Project Chesapeake, LLC
- Jessica Lynn Pucci
- Kayla Purcell
- Shubhinder Puri
All providers in Prince Frederick, MD · Substance Use Disorder Rehabilitation Clinic/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 Jun 21, 2022. 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.