By Your Side | |
405 Frederick Rd Ste 256 Catonsville MD 21228-4666 | |
(410) 600-3467 | |
Not Available |
Full Name | By Your Side |
---|---|
Speciality | Community/behavioral Health |
Location | 405 Frederick Rd Ste 256, Catonsville, Maryland |
Authorized Official Name and Position | Davon Johnson (COO) |
Authorized Official Contact | 4436217326 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
By Your Side 405 Frederick Rd Ste 256 Catonsville MD 21228-4666 Ph: (410) 600-3467 | By Your Side 405 Frederick Rd Ste 256 Catonsville MD 21228-4666 Ph: (410) 600-3467 |
NPI Number | 1952034670 |
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Provider Enumeration Date | 07/09/2022 |
Last Update Date | 11/30/2022 |
Certification Date | 11/30/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952034670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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