| Free State Ocd & Anxiety Treatment Center | |
|
658 Kenilworth Dr Ste 206 Towson MD 21204-2334 | |
| (410) 241-1238 | |
| Not Available |
| Full Name | Free State Ocd & Anxiety Treatment Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 658 Kenilworth Dr Ste 206, Towson, Maryland |
| Authorized Official Name and Position | Victoria Kai Stith (OWNER, PSYCHOTHERAPIST) |
| Authorized Official Contact | 4102411238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Free State Ocd & Anxiety Treatment Center 205 N Tyrone Rd Baltimore MD 21212-1124 Ph: (410) 241-1238 | Free State Ocd & Anxiety Treatment Center 658 Kenilworth Dr Ste 206 Towson MD 21204-2334 Ph: (410) 241-1238 |
| NPI Number | 1649767708 |
|---|---|
| Provider Enumeration Date | 04/15/2018 |
| Last Update Date | 04/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649767708 | NPI | - | NPPES |
| 1659752608 | Other | MD | NPI NUMBER FOR INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LC6502 (Maryland) | Primary |
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