| Corsica River Mental Health Services | |
|
120 Banjo Ln Centreville MD 21617-1002 | |
| (410) 341-3420 | |
| (410) 341-3397 |
| Full Name | Corsica River Mental Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 120 Banjo Ln, Centreville, Maryland |
| Authorized Official Name and Position | Tuesday Trott (ADMINISTRATOR) |
| Authorized Official Contact | 4103413420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corsica River Mental Health Services 716 N Division St Salisbury MD 21801-4156 Ph: () - | Corsica River Mental Health Services 120 Banjo Ln Centreville MD 21617-1002 Ph: (410) 341-3420 |
| NPI Number | 1770716458 |
|---|---|
| Provider Enumeration Date | 08/28/2009 |
| Last Update Date | 09/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770716458 | NPI | - | NPPES |
| 298470901 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 23646 (Maryland) | Primary |
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Project Chesapeake, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Coursevall Dr Ste 104, Centreville, MD 21617 Phone: 443-262-0425 | |
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