| Emerald Health Center, Inc | |
|
217 Main St Reisterstown MD 21136-1213 | |
| (410) 833-0580 | |
| (410) 833-8604 |
| Full Name | Emerald Health Center, Inc |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 217 Main St, Reisterstown, Maryland |
| Authorized Official Name and Position | Luz J. E. Correa-cashdollar (PRACTICE MANAGER) |
| Authorized Official Contact | 4108330580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Health Center, Inc 217 Main St Reisterstown MD 21136-1213 Ph: (410) 833-0580 | Emerald Health Center, Inc 217 Main St Reisterstown MD 21136-1213 Ph: (410) 833-0580 |
| NPI Number | 1730143991 |
|---|---|
| Provider Enumeration Date | 04/14/2006 |
| Last Update Date | 04/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730143991 | NPI | - | NPPES |
| 247L | Other | MD | MC GROUP NUMBER |
| KA78EM | Other | MD | CAREFIRST BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | D0020136 (Maryland) | Primary |
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