| Family Preservation Of America | |
|
7004 Security Blvd Ste 300-a40 Baltimore MD 21244-2557 | |
| (877) 828-8419 | |
| Not Available |
| Full Name | Family Preservation Of America |
|---|---|
| Speciality | Clinic/Center |
| Location | 7004 Security Blvd Ste 300-a40, Baltimore, Maryland |
| Authorized Official Name and Position | Ebelechukwu Elochukwu (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4437641225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Preservation Of America Po Box 19616 Baltimore MD 21225-0616 Ph: () - | Family Preservation Of America 7004 Security Blvd Ste 300-a40 Baltimore MD 21244-2557 Ph: (877) 828-8419 |
| NPI Number | 1902500598 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/18/2023 |
| Medicare PECOS PAC ID | 7315301736 |
|---|---|
| Medicare Enrollment ID | O20231011001944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902500598 | NPI | - | NPPES |
| Provider Name | Catherine J Sawyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942730411 PECOS PAC ID: 0143591073 Enrollment ID: I20170810001276 |
| Provider Name | Maryann Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245958628 PECOS PAC ID: 9830551019 Enrollment ID: I20231011002118 |
| Provider Name | Alice Germaine Beukam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760152763 PECOS PAC ID: 2163886664 Enrollment ID: I20231011002289 |
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