| Archway Station Inc | |
|
45 Queen St. Cumberland MD 21502 | |
| (301) 777-1700 | |
| (301) 724-1209 |
| Full Name | Archway Station Inc |
|---|---|
| Speciality | Psychologist - Rehabilitation |
| Location | 45 Queen St., 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 45 Queen St Cumberland MD 21502 Ph: (301) 777-1700 | Archway Station Inc 45 Queen St. Cumberland MD 21502 Ph: (301) 777-1700 |
| NPI Number | 1477570059 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 04/20/2023 |
| Certification Date | 04/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477570059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TR0400X | Psychologist - Rehabilitation | (* (Not Available)) | Primary |
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