| Green Ridge Behavioral Health | |
|
610 Professional Dr Ste 255 Gaithersburg MD 20879-3413 | |
| (240) 683-6202 | |
| (240) 683-6203 |
| Full Name | Green Ridge Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 610 Professional Dr, Gaithersburg, Maryland |
| Authorized Official Name and Position | Narayanan Ramesh (OWNER) |
| Authorized Official Contact | 2406836202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Ridge Behavioral Health 610 Professional Dr Ste 255 Gaithersburg MD 20879-3413 Ph: (240) 683-6202 | Green Ridge Behavioral Health 610 Professional Dr Ste 255 Gaithersburg MD 20879-3413 Ph: (240) 683-6202 |
| NPI Number | 1497769616 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497769616 | NPI | - | NPPES |
| S288 | Other | DC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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