| Behavioral Healthcare Of Maryland | |
|
1405 Madison Park Drive Suite 1b Glen Burnie MD 21061 | |
| (410) 487-6302 | |
| (443) 517-6072 |
| Full Name | Behavioral Healthcare Of Maryland |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1405 Madison Park Drive Suite 1b, Glen Burnie, Maryland |
| Authorized Official Name and Position | Wilbur Ian Cort (PROGRAM DIRECTOR) |
| Authorized Official Contact | 3018912077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Healthcare Of Maryland 1405 Madison Park Drive Suite 1b Glen Burnie MD 21061 Ph: (410) 487-6302 | Behavioral Healthcare Of Maryland 1405 Madison Park Drive Suite 1b Glen Burnie MD 21061 Ph: (410) 487-6302 |
| NPI Number | 1902142839 |
|---|---|
| Provider Enumeration Date | 12/21/2012 |
| Last Update Date | 05/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902142839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MH-531 (Maryland) | Primary |
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