| Centria Healthcare Llc | |
|
9900 Franklin Square Dr Ste D Nottingham MD 21236-5915 | |
| (855) 772-8847 | |
| Not Available |
| Full Name | Centria Healthcare Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9900 Franklin Square Dr Ste D, Nottingham, Maryland |
| Authorized Official Name and Position | Daniel Corley (DIRECTOR OF CONTRACT ADMINISTRATION) |
| Authorized Official Contact | 2489191156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centria Healthcare Llc 27777 Inkster Rd Ste 100 Farmington Hills MI 48334-5312 Ph: (855) 772-8847 | Centria Healthcare Llc 9900 Franklin Square Dr Ste D Nottingham MD 21236-5915 Ph: (855) 772-8847 |
| NPI Number | 1578386462 |
|---|---|
| Provider Enumeration Date | 11/07/2024 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578386462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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