Jefferson School At Eckhart | |
17000 National Hwy Nw Frostburg MD 21532-3206 | |
(301) 777-2258 | |
(301) 777-2364 |
Full Name | Jefferson School At Eckhart |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 17000 National Hwy Nw, Frostburg, Maryland |
Authorized Official Name and Position | Bonnie B Katz (VP CORPORATE BUSINESS DEVELOPMENT) |
Authorized Official Contact | 4109383150 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jefferson School At Eckhart 6501 N Charles St Baltimore MD 21204-6819 Ph: (410) 938-3150 | Jefferson School At Eckhart 17000 National Hwy Nw Frostburg MD 21532-3206 Ph: (301) 777-2258 |
NPI Number | 1104970565 |
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Provider Enumeration Date | 01/23/2007 |
Last Update Date | 01/16/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104970565 | NPI | - | NPPES |
00000 | Other | MD | TENTATIVE APPR LTR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | 0000 (Maryland) | Primary |
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