Breakthrough Community Development Corporation | |
1831 Forest Dr Ste G Annapolis MD 21401-4430 | |
(443) 221-7447 | |
Not Available |
Full Name | Breakthrough Community Development Corporation |
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Speciality | Counselor - Mental Health |
Location | 1831 Forest Dr Ste G, Annapolis, Maryland |
Authorized Official Name and Position | Hawanya Jerry (BILLER) |
Authorized Official Contact | 3018730608 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Breakthrough Community Development Corporation 1831 Forest Dr Ste G Annapolis MD 21401-4430 Ph: (443) 221-7447 | Breakthrough Community Development Corporation 1831 Forest Dr Ste G Annapolis MD 21401-4430 Ph: (443) 221-7447 |
NPI Number | 1649011883 |
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Provider Enumeration Date | 06/03/2024 |
Last Update Date | 06/03/2024 |
Certification Date | 06/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649011883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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