| Arundel Lodge, Inc | |
|
92 W Washington St Annapolis MD 21401-2432 | |
| (443) 433-5900 | |
| (410) 841-6045 |
| Full Name | Arundel Lodge, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 92 W Washington St, Annapolis, Maryland |
| Authorized Official Name and Position | Cynthia Garmoe (HUMAN RESOURCES/CREDENTIALING) |
| Authorized Official Contact | 4434335900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arundel Lodge, Inc 2600 Solomons Island Rd Edgewater MD 21037-1102 Ph: (443) 433-5900 | Arundel Lodge, Inc 92 W Washington St Annapolis MD 21401-2432 Ph: (443) 433-5900 |
| NPI Number | 1144872409 |
|---|---|
| Provider Enumeration Date | 07/16/2019 |
| Last Update Date | 07/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144872409 | NPI | - | NPPES |
| 414478300 | Medicaid | MD | |
| 409776900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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