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280 Stafford Road Barstow MD 20610 | |
(410) 535-3079 | |
(410) 535-2220 |
Full Name | |
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Speciality | Clinic/center - Adult Mental Health |
Location | 280 Stafford Road, Barstow, Maryland |
Authorized Official Name and Position | Doris J Mcdonald (DIRECTOR OF BEHAVIORAL HEALTH) |
Authorized Official Contact | 4105353079 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 980 Prince Frederick MD 20678-0980 Ph: () - | 280 Stafford Road Barstow MD 20610 Ph: (410) 535-3079 |
NPI Number | 1912355637 |
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Provider Enumeration Date | 06/03/2016 |
Last Update Date | 06/03/2016 |
Identifier | Type | State | Issuer |
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1912355637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (Maryland) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (Maryland) | Secondary |