Erc Maryland | |
7505 Osler Dr Ste 405 Towson MD 21204-7739 | |
(877) 825-8584 | |
Not Available |
Full Name | Erc Maryland |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 7505 Osler Dr Ste 405, Towson, Maryland |
Authorized Official Name and Position | Marina Shepel (CREDENTIALING AND CONTRACTING MANAG) |
Authorized Official Contact | 2063834781 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Erc Maryland Po Box 561577 Denver CO 80256-0001 Ph: () - | Erc Maryland 7505 Osler Dr Ste 405 Towson MD 21204-7739 Ph: (877) 825-8584 |
NPI Number | 1528679834 |
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Provider Enumeration Date | 08/11/2020 |
Last Update Date | 08/11/2020 |
Certification Date | 08/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528679834 | NPI | - | NPPES |
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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