| Humanim Supported Employment Aa | |
|
1202 Annapolis Rd Odenton MD 21113-1397 | |
| (410) 381-7171 | |
| Not Available |
| Full Name | Humanim Supported Employment Aa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1202 Annapolis Rd, Odenton, Maryland |
| Authorized Official Name and Position | Lori Somerville (COO) |
| Authorized Official Contact | 4103817171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Humanim Supported Employment Aa 6355 Woodside Ct Columbia MD 21046-1071 Ph: () - | Humanim Supported Employment Aa 1202 Annapolis Rd Odenton MD 21113-1397 Ph: (410) 381-7171 |
| NPI Number | 1649819830 |
|---|---|
| Provider Enumeration Date | 01/06/2020 |
| Last Update Date | 01/06/2020 |
| Certification Date | 01/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649819830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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