| Inspiring Change Mental Health Services, Llc. | |
|
4654 York Rd Ste 1a Baltimore MD 21212-4726 | |
| (410) 258-6714 | |
| Not Available |
| Full Name | Inspiring Change Mental Health Services, Llc. |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 4654 York Rd Ste 1a, Baltimore, Maryland |
| Authorized Official Name and Position | Shaquanna Foster-dotson (PRESIDENT/ FOUNDER) |
| Authorized Official Contact | 4102586714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspiring Change Mental Health Services, Llc. 4654 York Rd Ste 1a Baltimore MD 21212-4726 Ph: (410) 258-6714 | Inspiring Change Mental Health Services, Llc. 4654 York Rd Ste 1a Baltimore MD 21212-4726 Ph: (410) 258-6714 |
| NPI Number | 1497365654 |
|---|---|
| Provider Enumeration Date | 08/03/2020 |
| Last Update Date | 08/02/2021 |
| Certification Date | 08/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497365654 | NPI | - | NPPES |
| 677502100 | Medicaid | MD |
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