Ccs Towson - Medicaid (facility) | |
7600 York Rd Towson MD 21204-7500 | |
(410) 740-8066 | |
Not Available |
Full Name | Ccs Towson - Medicaid (facility) |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 7600 York Rd, Towson, Maryland |
Authorized Official Name and Position | Mark David Donovan (CEO) |
Authorized Official Contact | 4107408066 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ccs Towson - Medicaid (facility) 10630 Little Patuxent Pkwy Ste 209 Columbia MD 21044-6278 Ph: (410) 740-8066 | Ccs Towson - Medicaid (facility) 7600 York Rd Towson MD 21204-7500 Ph: (410) 740-8066 |
NPI Number | 1174143853 |
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Provider Enumeration Date | 04/22/2020 |
Last Update Date | 10/28/2021 |
Certification Date | 10/28/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174143853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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