| A Beautiful Mind Llc | |
|
1319 Woodbridge Station Way Ste 101 Edgewood MD 21040-3852 | |
| (443) 961-7560 | |
| Not Available |
| Full Name | A Beautiful Mind Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1319 Woodbridge Station Way Ste 101, Edgewood, Maryland |
| Authorized Official Name and Position | Camille G. Matthews (OWNER/OPERATOR) |
| Authorized Official Contact | 4107283737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Beautiful Mind Llc 1802 Eutaw Pl Baltimore MD 21217-3805 Ph: (443) 801-3134 | A Beautiful Mind Llc 1319 Woodbridge Station Way Ste 101 Edgewood MD 21040-3852 Ph: (443) 961-7560 |
| NPI Number | 1902542624 |
|---|---|
| Provider Enumeration Date | 05/05/2022 |
| Last Update Date | 05/05/2022 |
| Certification Date | 05/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902542624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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