| Gladstone Psychiatry | |
|
1501 Sulgrave Ave Ste 200 Baltimore MD 21209-3650 | |
| (443) 240-4087 | |
| (667) 212-5095 |
| Full Name | Gladstone Psychiatry |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1501 Sulgrave Ave Ste 200, Baltimore, Maryland |
| Authorized Official Name and Position | Anthony Guy Massey (CEO) |
| Authorized Official Contact | 4432404087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gladstone Psychiatry 1501 Sulgrave Ave Ste 200 Baltimore MD 21209-3650 Ph: (443) 240-4087 | Gladstone Psychiatry 1501 Sulgrave Ave Ste 200 Baltimore MD 21209-3650 Ph: (443) 240-4087 |
| NPI Number | 1083228506 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 09/02/2020 |
| Certification Date | 09/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083228506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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