| Jefferson School At Finan Center | |
|
10100 Country Club Rd Se Cumberland MD 21502-8339 | |
| (410) 777-2258 | |
| (301) 777-2364 |
| Full Name | Jefferson School At Finan Center |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 10100 Country Club Rd Se, Cumberland, 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 |
|---|---|
| Jefferson School At Finan Center 6501 N Charles St Baltimore MD 21204-6819 Ph: (410) 938-3150 | Jefferson School At Finan Center 10100 Country Club Rd Se Cumberland MD 21502-8339 Ph: (410) 777-2258 |
| NPI Number | 1841344470 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 11/22/2021 |
| Certification Date | 11/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841344470 | NPI | - | NPPES |
| 201901902 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 3794 (Maryland) | Primary |
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