| Debobeth Medical Center | |
|
3107-3109 Erdman Avenue Baltimore MD 21213 | |
| (410) 869-4602 | |
| (410) 869-4603 |
| Full Name | Debobeth Medical Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3107-3109 Erdman Avenue, Baltimore, Maryland |
| Authorized Official Name and Position | Mercy O Fadoju (PROVIDER) |
| Authorized Official Contact | 4108694602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Debobeth Medical Center 3107-3109 Erdman Avenue Baltimore MD 21213 Ph: (410) 869-4602 | Debobeth Medical Center 3107-3109 Erdman Avenue Baltimore MD 21213 Ph: (410) 869-4602 |
| NPI Number | 1225651433 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 05/21/2020 |
| Certification Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225651433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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