| Adolescent And Family Services/mental Health | |
|
122 Langley Rd N Ste A Glen Burnie MD 21060-6531 | |
| (410) 222-6785 | |
| (410) 222-6888 |
| Full Name | Adolescent And Family Services/mental Health |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 122 Langley Rd N, Glen Burnie, Maryland |
| Authorized Official Name and Position | Timothy Laureska (DEPUTY HEALTH OFFICER/OPERATIONS) |
| Authorized Official Contact | 4102227377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adolescent And Family Services/mental Health 3 Harry S Truman Pkwy Hd19 Annapolis MD 21401-7031 Ph: (410) 222-7164 | Adolescent And Family Services/mental Health 122 Langley Rd N Ste A Glen Burnie MD 21060-6531 Ph: (410) 222-6785 |
| NPI Number | 1134527872 |
|---|---|
| Provider Enumeration Date | 12/11/2014 |
| Last Update Date | 12/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134527872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | MH-882 (Maryland) | Primary |
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