| Channel Marker, Inc | |
|
420 Dorchester Ave Cambridge MD 21613-2446 | |
| (410) 228-8330 | |
| Not Available |
| Full Name | Channel Marker, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 420 Dorchester Ave, Cambridge, Maryland |
| Authorized Official Name and Position | Catherine Cassell (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4108224619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Channel Marker, Inc 8865 Glebe Park Dr Unit 1 Easton MD 21601-7003 Ph: (410) 822-4619 | Channel Marker, Inc 420 Dorchester Ave Cambridge MD 21613-2446 Ph: (410) 228-8330 |
| NPI Number | 1104004647 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 12/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104004647 | NPI | - | NPPES |
| 588251602 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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