| Genesis Treatment Services | |
|
1106 Business Pkwy S Ste B Westminster MD 21157-3054 | |
| (410) 751-7771 | |
| Not Available |
| Full Name | Genesis Treatment Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1106 Business Pkwy S, Westminster, Maryland |
| Authorized Official Name and Position | Joel Prell (PRESIDENT) |
| Authorized Official Contact | 4109670058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Treatment Services Po Box 194 Hampstead MD 21074-0194 Ph: (410) 967-0058 | Genesis Treatment Services 1106 Business Pkwy S Ste B Westminster MD 21157-3054 Ph: (410) 751-7771 |
| NPI Number | 1770980245 |
|---|---|
| Provider Enumeration Date | 12/01/2014 |
| Last Update Date | 12/18/2020 |
| Certification Date | 12/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770980245 | NPI | - | NPPES |
| 414973400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 905161 (Maryland) | Primary |
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