| Green Ridge Behavioral Health, Llc | |
|
5216 Chairmans Court Suite 102 Frederick MD 21703 | |
| (240) 683-6202 | |
| (240) 683-6203 |
| Full Name | Green Ridge Behavioral Health, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 5216 Chairmans Court, Frederick, Maryland |
| Authorized Official Name and Position | Narayanan Ramesh (PARTNER) |
| Authorized Official Contact | 2406836202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Ridge Behavioral Health, Llc 610 Professional Drive Gaithersburg MD 20897 Ph: (240) 683-6202 | Green Ridge Behavioral Health, Llc 5216 Chairmans Court Suite 102 Frederick MD 21703 Ph: (240) 683-6202 |
| NPI Number | 1609283050 |
|---|---|
| Provider Enumeration Date | 07/17/2014 |
| Last Update Date | 07/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609283050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | D0056459 (Maryland) | Primary |
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