| Channel Marker, Inc | |
|
613 S 5th Ave Denton MD 21629-1485 | |
| (410) 822-4619 | |
| Not Available |
| Full Name | Channel Marker, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 613 S 5th Ave, Denton, Maryland |
| Authorized Official Name and Position | Catherine Barwick 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 21601-7069 Ph: (410) 822-4619 | Channel Marker, Inc 613 S 5th Ave Denton MD 21629-1485 Ph: (410) 822-4619 |
| NPI Number | 1366007577 |
|---|---|
| Provider Enumeration Date | 05/02/2019 |
| Last Update Date | 05/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366007577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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