Connected Communities For Behavioral Wellness | |
2139 Espey Ct Ste 2 Crofton MD 21114-2446 | |
(202) 230-2374 | |
Not Available |
Full Name | Connected Communities For Behavioral Wellness |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2139 Espey Ct Ste 2, Crofton, Maryland |
Authorized Official Name and Position | Robert Frasier (OWNER) |
Authorized Official Contact | 2022302374 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Connected Communities For Behavioral Wellness 2139 Espey Ct Ste 2 Crofton MD 21114-2446 Ph: (202) 230-2374 | Connected Communities For Behavioral Wellness 2139 Espey Ct Ste 2 Crofton MD 21114-2446 Ph: (202) 230-2374 |
NPI Number | 1033997705 |
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Provider Enumeration Date | 09/15/2023 |
Last Update Date | 09/15/2023 |
Certification Date | 09/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033997705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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