| J & A Positive Image Llc | |
|
6755 Business Pkwy Suite 102 Elkridge MD 21075-6753 | |
| (443) 370-5372 | |
| (410) 796-1410 |
| Full Name | J & A Positive Image Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6755 Business Pkwy, Elkridge, Maryland |
| Authorized Official Name and Position | Jane Kihiko (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4433705372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J & A Positive Image Llc 6755 Business Pkwy Suite 102 Elkridge MD 21075-6753 Ph: (443) 370-5372 | J & A Positive Image Llc 6755 Business Pkwy Suite 102 Elkridge MD 21075-6753 Ph: (443) 370-5372 |
| NPI Number | 1033657374 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 02/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033657374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MH2225 (Maryland) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | MH2225 (Maryland) | Secondary |
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