| Bayside Behavioral Health Clinic Of Annapolis | |
|
134 Holiday Ct Suite 302 Annapolis MD 21401-7008 | |
| (410) 266-1600 | |
| Not Available |
| Full Name | Bayside Behavioral Health Clinic Of Annapolis |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 134 Holiday Ct, Annapolis, Maryland |
| Authorized Official Name and Position | Melanie Ogunmefun (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4102661600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayside Behavioral Health Clinic Of Annapolis Po Box 225 Pasadena MD 21123-0225 Ph: () - | Bayside Behavioral Health Clinic Of Annapolis 134 Holiday Ct Suite 302 Annapolis MD 21401-7008 Ph: (410) 266-1600 |
| NPI Number | 1700137643 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 10/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700137643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10949 (Maryland) | Primary |
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