| Advantage Psychiatric Services Llc | |
|
493 Main St Prince Frederick MD 20678-3186 | |
| (410) 686-3629 | |
| Not Available |
| Full Name | Advantage Psychiatric Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 493 Main St, Prince Frederick, Maryland |
| Authorized Official Name and Position | Cynthia Lynn Pixton (CEO) |
| Authorized Official Contact | 4106863629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Psychiatric Services Llc 5024 Campbell Blvd Ste A Nottingham MD 21236-5974 Ph: (410) 686-3629 | Advantage Psychiatric Services Llc 493 Main St Prince Frederick MD 20678-3186 Ph: (410) 686-3629 |
| NPI Number | 1740874296 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 02/26/2021 |
| Certification Date | 02/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740874296 | NPI | - | NPPES |
| 210210588 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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