| Connecting After Care | |
|
6302 Queens Chapel Rd University Park MD 20782-2130 | |
| (732) 687-7781 | |
| Not Available |
| Full Name | Connecting After Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 6302 Queens Chapel Rd, University Park, Maryland |
| Authorized Official Name and Position | Danielle Tiley (THERAPIST) |
| Authorized Official Contact | 7326877781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecting After Care 6302 Queens Chapel Rd University Park MD 20782-2130 Ph: (732) 687-7781 | Connecting After Care 6302 Queens Chapel Rd University Park MD 20782-2130 Ph: (732) 687-7781 |
| NPI Number | 1831714229 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 06/10/2020 |
| Certification Date | 06/10/2020 |
| Medicare PECOS PAC ID | 2264856327 |
|---|---|
| Medicare Enrollment ID | O20200722000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831714229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Danielle Tiley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679022578 PECOS PAC ID: 8426382201 Enrollment ID: I20191101000140 |
Behneman & Guschwan, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4201 Tuckerman St, University Park, MD 20782 Phone: 301-927-4378 Fax: 301-927-4340 |