| Baltimore County Mental Health Associates Llc | |
|
1232 Race Rd Ste 401 Rosedale MD 21237-2386 | |
| (410) 900-7938 | |
| Not Available |
| Full Name | Baltimore County Mental Health Associates Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1232 Race Rd Ste 401, Rosedale, Maryland |
| Authorized Official Name and Position | Jane Iwebo (PROVIDER) |
| Authorized Official Contact | 4109007938 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baltimore County Mental Health Associates Llc 1232 Race Rd Ste 401 Rosedale MD 21237-2386 Ph: (410) 900-7938 | Baltimore County Mental Health Associates Llc 1232 Race Rd Ste 401 Rosedale MD 21237-2386 Ph: (410) 900-7938 |
| NPI Number | 1518557529 |
|---|---|
| Provider Enumeration Date | 01/23/2021 |
| Last Update Date | 01/23/2021 |
| Certification Date | 01/23/2021 |
| Medicare PECOS PAC ID | 5890100572 |
|---|---|
| Medicare Enrollment ID | O20210210000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518557529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jane Ngozi Iwebo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285296384 PECOS PAC ID: 2668704768 Enrollment ID: I20191022003031 |
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