| Angela Greene, Llc | |
|
622 Pond View Ct Westminster MD 21158-4429 | |
| (410) 861-7471 | |
| (410) 871-0099 |
| Full Name | Angela Greene, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 622 Pond View Ct, Westminster, Maryland |
| Authorized Official Name and Position | Angela Greene (OWNER) |
| Authorized Official Contact | 4108617471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Greene, Llc 622 Pond View Ct Westminster MD 21158-4429 Ph: (410) 861-7471 | Angela Greene, Llc 622 Pond View Ct Westminster MD 21158-4429 Ph: (410) 861-7471 |
| NPI Number | 1356963581 |
|---|---|
| Provider Enumeration Date | 05/11/2020 |
| Last Update Date | 05/11/2020 |
| Certification Date | 05/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356963581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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