| Corsica River Mental Health Services, Inc. | |
|
502 Poplar St Cambridge MD 21613-1834 | |
| (443) 225-5780 | |
| (443) 225-5783 |
| Full Name | Corsica River Mental Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 502 Poplar St, Cambridge, Maryland |
| Authorized Official Name and Position | John F. Plaskon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4107583050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corsica River Mental Health Services, Inc. 120 Banjo Ln P.o. Box 718 Centreville MD 21617-1002 Ph: (410) 758-2211 | Corsica River Mental Health Services, Inc. 502 Poplar St Cambridge MD 21613-1834 Ph: (443) 225-5780 |
| NPI Number | 1992049100 |
|---|---|
| Provider Enumeration Date | 11/12/2012 |
| Last Update Date | 01/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992049100 | NPI | - | NPPES |
| 4214099 00 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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