| Kargman Center For Community Care And Mental Wellness, Inc. | |
|
47 Shipping Pl Dundalk MD 21222-4318 | |
| (917) 576-7467 | |
| Not Available |
| Full Name | Kargman Center For Community Care And Mental Wellness, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 47 Shipping Pl, Dundalk, Maryland |
| Authorized Official Name and Position | Dimitry Kargman (PRESIDENT) |
| Authorized Official Contact | 9175767467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kargman Center For Community Care And Mental Wellness, Inc. 47 Shipping Pl Dundalk MD 21222-4318 Ph: (917) 576-7467 | Kargman Center For Community Care And Mental Wellness, Inc. 47 Shipping Pl Dundalk MD 21222-4318 Ph: (917) 576-7467 |
| NPI Number | 1831721992 |
|---|---|
| Provider Enumeration Date | 02/06/2020 |
| Last Update Date | 02/06/2020 |
| Certification Date | 02/06/2020 |
| Medicare PECOS PAC ID | 1658702162 |
|---|---|
| Medicare Enrollment ID | O20200518002319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831721992 | NPI | - | NPPES |
| Provider Name | Judith V Lelchook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033428065 PECOS PAC ID: 2163403627 Enrollment ID: I20040528001173 |
| Provider Name | Stacy Hurley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811216641 PECOS PAC ID: 5597186080 Enrollment ID: I20200609003184 |
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