COURAGE TO CHANGE OF SOUTHERN MARYLAND
NPI 1609924877
Counselor - Addiction (Substance Use Disorder) in Prince Frederick, MD

Active since January 06, 2007
96 ARMORY RD, SUITE 102, PRINCE FREDERICK, MD 20678(410) 414-9050(410) 414-9060 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Courage To Change Of Southern Maryland NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURAGE TO CHANGE OF SOUTHERN MARYLAND (NPI 1609924877) is a healthcare organization registered as an addiction (substance use disorder) in Prince Frederick, Maryland and active in the NPI registry since January 2007. The organization lists Marjorie Humke, Program Director, as its authorized official.

NPPES Registry Identity

NPI1609924877
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameCOURAGE TO CHANGE OF SOUTHERN MARYLAND
Location Address96 ARMORY RD, SUITE 102Prince Frederick, MD 20678-4117
Mailing Address96 Armory Rd, Suite 102Prince Frederick, MD 20678-4117 · (410) 414-9050 · Fax (410) 414-9060
Fax(410) 414-9060
Organization SubpartNo
Authorized OfficialMarjorie HumkeProgram Director · (410) 414-9050
Enumeration DateJanuary 6, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1609924877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MD · LCA091
96 ARMORY RD, Prince Frederick, MD 20678

Other Identifiers 1

OtherMD-10343401MD · Samis Id

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courage To Change Of Southern Maryland's NPI number?

The NPI number for Courage To Change Of Southern Maryland is 1609924877. It was assigned to this organization in the NPPES registry on January 6, 2007.

Where is Courage To Change Of Southern Maryland located?

Courage To Change Of Southern Maryland is located at 96 Armory Rd Suite 102, Prince Frederick, MD 20678. The listed phone number is (410) 414-9050.

What is Courage To Change Of Southern Maryland's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Courage To Change Of Southern Maryland was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.