| Center 4 Clean Start | |
|
926 Snow Hill Road Cottage 200, Holly Center, Center 4 Clean Start Salisbury MD 21804 | |
| (410) 742-3460 | |
| (410) 742-5810 |
| Full Name | Center 4 Clean Start |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 926 Snow Hill Road, Salisbury, Maryland |
| Authorized Official Name and Position | Heather Barton (DIRECTOR, ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 4106321100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center 4 Clean Start 6040 Public Landing Rd Snow Hill MD 21863-2453 Ph: (410) 632-1100 | Center 4 Clean Start 926 Snow Hill Road Cottage 200, Holly Center, Center 4 Clean Start Salisbury MD 21804 Ph: (410) 742-3460 |
| NPI Number | 1073802138 |
|---|---|
| Provider Enumeration Date | 03/29/2011 |
| Last Update Date | 07/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073802138 | NPI | - | NPPES |
| 367831800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 905074 (Maryland) | Primary |
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