| Archway Station, Inc. | |
|
121 Memorial Ave Cumberland MD 21502-4209 | |
| (301) 724-2582 | |
| (301) 777-8020 |
| Full Name | Archway Station, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 121 Memorial Ave, Cumberland, Maryland |
| Authorized Official Name and Position | Stephanie Moore (BEHAVIORAL HEALTH PROGRAM DIRECTOR) |
| Authorized Official Contact | 3017771700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Archway Station, Inc. 121 Memorial Ave Cumberland MD 21502-4209 Ph: (301) 724-2582 | Archway Station, Inc. 121 Memorial Ave Cumberland MD 21502-4209 Ph: (301) 724-2582 |
| NPI Number | 1275891947 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 04/20/2023 |
| Certification Date | 04/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275891947 | NPI | - | NPPES |
| 588551501 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MH472 (Maryland) | Primary |
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