| Guide Independence Prp - Montgomery Tay | |
|
18321 Lost Knife Cir 101 Gaithersburg MD 20886-0305 | |
| (301) 948-1000 | |
| (301) 937-4378 |
| Full Name | Guide Independence Prp - Montgomery Tay |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 18321 Lost Knife Cir, Gaithersburg, Maryland |
| Authorized Official Name and Position | Scott K. Birdsong (EXECUTIVE DIRECTOR & PRESIDENT) |
| Authorized Official Contact | 3015493602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guide Independence Prp - Montgomery Tay 8643 Cherry Ln Laurel MD 20707-6200 Ph: (301) 549-3602 | Guide Independence Prp - Montgomery Tay 18321 Lost Knife Cir 101 Gaithersburg MD 20886-0305 Ph: (301) 948-1000 |
| NPI Number | 1255455192 |
|---|---|
| Provider Enumeration Date | 03/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255455192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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