| Jason Chrystal Llc | |
|
364 Fair Hill Dr Ste D Elkton MD 21921-2539 | |
| (443) 687-9976 | |
| Not Available |
| Full Name | Jason Chrystal Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 364 Fair Hill Dr Ste D, Elkton, Maryland |
| Authorized Official Name and Position | Jason Chrystal (OWNER) |
| Authorized Official Contact | 4102074783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Chrystal Llc 7 Jackson Ave North East MD 21901-2019 Ph: (410) 207-4783 | Jason Chrystal Llc 364 Fair Hill Dr Ste D Elkton MD 21921-2539 Ph: (443) 687-9976 |
| NPI Number | 1770312761 |
|---|---|
| Provider Enumeration Date | 07/29/2024 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770312761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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