Bridging Gaps Through Positive Solutions | |
3103 Erdman Ave Baltimore MD 21213-1719 | |
(443) 835-4825 | |
Not Available |
Full Name | Bridging Gaps Through Positive Solutions |
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Speciality | Community/Behavioral Health |
Location | 3103 Erdman Ave, Baltimore, Maryland |
Authorized Official Name and Position | Tyronda Mcdermott (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4437799316 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bridging Gaps Through Positive Solutions 3103 Erdman Ave Baltimore MD 21213-1719 Ph: (443) 835-4825 | Bridging Gaps Through Positive Solutions 3103 Erdman Ave Baltimore MD 21213-1719 Ph: (443) 835-4825 |
NPI Number | 1679104210 |
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Provider Enumeration Date | 02/02/2020 |
Last Update Date | 02/02/2020 |
Certification Date | 02/02/2020 |
Medicare PECOS PAC ID | 0244772788 |
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Medicare Enrollment ID | O20240612000043 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679104210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Brynne L Matthews |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467018473 PECOS PAC ID: 9537499546 Enrollment ID: I20190917004126 |
Provider Name | Kathy M Anderson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598324121 PECOS PAC ID: 3577005024 Enrollment ID: I20240612000218 |
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