| Forbush School At Anne Arundel | |
|
648 Old Mill Rd Millersville MD 21108-1373 | |
| (410) 729-9181 | |
| (410) 729-3159 |
| Full Name | Forbush School At Anne Arundel |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 648 Old Mill Rd, Millersville, Maryland |
| Authorized Official Name and Position | Bonnie B. Katz (VP, BUS DEVELOPMENT & SUPPORT OPS) |
| Authorized Official Contact | 4109383150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forbush School At Anne Arundel 6501 N Charles St Baltimore MD 21204-6819 Ph: (410) 938-3000 | Forbush School At Anne Arundel 648 Old Mill Rd Millersville MD 21108-1373 Ph: (410) 729-9181 |
| NPI Number | 1891021382 |
|---|---|
| Provider Enumeration Date | 10/19/2009 |
| Last Update Date | 10/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891021382 | NPI | - | NPPES |
| LETTER OF LICENSE | Other | MD | MD SPECIAL EDUCATION LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | LETTER (Maryland) | Primary |
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