| Humanim Tbs | |
|
6355 Woodside Ct Columbia MD 21046-1071 | |
| (410) 381-7171 | |
| Not Available |
| Full Name | Humanim Tbs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6355 Woodside Ct, Columbia, 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 Tbs 6355 Woodside Ct Columbia MD 21046-1071 Ph: () - | Humanim Tbs 6355 Woodside Ct Columbia MD 21046-1071 Ph: (410) 381-7171 |
| NPI Number | 1275117061 |
|---|---|
| Provider Enumeration Date | 05/08/2021 |
| Last Update Date | 05/08/2021 |
| Certification Date | 04/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275117061 | NPI | - | NPPES |
| 388505400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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