| Epiphany Family Services Maryland Llc | |
|
2310 N Charles St Baltimore MD 21218-5127 | |
| (410) 844-4110 | |
| Not Available |
| Full Name | Epiphany Family Services Maryland Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2310 N Charles St, Baltimore, Maryland |
| Authorized Official Name and Position | Anthony Estreet (CEO) |
| Authorized Official Contact | 4438737193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epiphany Family Services Maryland Llc 3301 Belair Rd Ste 2 Baltimore MD 21213-1257 Ph: () - | Epiphany Family Services Maryland Llc 2310 N Charles St Baltimore MD 21218-5127 Ph: (410) 844-4110 |
| NPI Number | 1891560488 |
|---|---|
| Provider Enumeration Date | 11/24/2023 |
| Last Update Date | 11/24/2023 |
| Certification Date | 11/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891560488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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