| Achd-mobile Treatment | |
|
12501 Willowbrook Rd Cumberland MD 21502-2569 | |
| (301) 759-5280 | |
| (301) 777-5630 |
| Full Name | Achd-mobile Treatment |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12501 Willowbrook Rd, Cumberland, Maryland |
| Authorized Official Name and Position | Sue Raver (HEALTH OFFICER) |
| Authorized Official Contact | 3017595001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Achd-mobile Treatment Po Box 1745 Cumberland MD 21501-1745 Ph: (301) 759-5000 | Achd-mobile Treatment 12501 Willowbrook Rd Cumberland MD 21502-2569 Ph: (301) 759-5280 |
| NPI Number | 1386972826 |
|---|---|
| Provider Enumeration Date | 11/20/2009 |
| Last Update Date | 02/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386972826 | NPI | - | NPPES |
| 418763600 | Medicaid | MD | |
| 935782300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 4312 (Maryland) | Primary |
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