| Springboard Community Services | |
|
44 E Gordon St Bel Air MD 21014-2916 | |
| (410) 838-9000 | |
| (410) 838-8953 |
| Full Name | Springboard Community Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 44 E Gordon St, Bel Air, Maryland |
| Authorized Official Name and Position | Jessie Costley (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4103661980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springboard Community Services 4623 Falls Rd Baltimore MD 21209-4914 Ph: (410) 366-1980 | Springboard Community Services 44 E Gordon St Bel Air MD 21014-2916 Ph: (410) 838-9000 |
| NPI Number | 1063917334 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 08/13/2020 |
| Certification Date | 08/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063917334 | NPI | - | NPPES |
| 132820402 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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