Clinical Service Connections, Inc | |
8930 Route 108 Suite A Columbia MD 21045-2121 | |
(443) 661-1301 | |
(443) 661-1175 |
Full Name | Clinical Service Connections, Inc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 8930 Route 108, Columbia, Maryland |
Authorized Official Name and Position | Edwin Richard Butler (VICE PRESIDENT) |
Authorized Official Contact | 4436611301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clinical Service Connections, Inc 8930 Route 108 Suite A Columbia MD 21045-2121 Ph: (443) 661-1301 | Clinical Service Connections, Inc 8930 Route 108 Suite A Columbia MD 21045-2121 Ph: (443) 661-1301 |
NPI Number | 1073901278 |
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Provider Enumeration Date | 12/23/2014 |
Last Update Date | 12/23/2014 |
Identifier | Type | State | Issuer |
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1073901278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1522 (Maryland) | Primary |
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