Kindred Treatment Center | |
3000 Manchester Rd Ste B Manchester MD 21102-1850 | |
(410) 861-0066 | |
Not Available |
Full Name | Kindred Treatment Center |
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Speciality | Clinic/Center |
Location | 3000 Manchester Rd Ste B, Manchester, Maryland |
Authorized Official Name and Position | Meghan E Bower (OWNDER/PROGRAM DIRECTOR) |
Authorized Official Contact | 4446830069 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kindred Treatment Center 2855 Country Woods Ct Finksburg MD 21048-2091 Ph: (443) 683-0069 | Kindred Treatment Center 3000 Manchester Rd Ste B Manchester MD 21102-1850 Ph: (410) 861-0066 |
NPI Number | 1508505769 |
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Provider Enumeration Date | 06/03/2022 |
Last Update Date | 06/03/2022 |
Certification Date | 06/03/2022 |
Medicare PECOS PAC ID | 9537519749 |
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Medicare Enrollment ID | O20240102000354 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508505769 | NPI | - | NPPES |
Provider Name | Trisha Curran |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316608060 PECOS PAC ID: 0143680934 Enrollment ID: I20230712000232 |
Provider Name | Njideka N Emenyi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912567504 PECOS PAC ID: 1850722133 Enrollment ID: I20231109000193 |
Provider Name | Meghan Bower |
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Provider Type | Practitioner - Other (non-physician) |
Provider Identifiers | NPI Number: 1568104883 PECOS PAC ID: 3072963180 Enrollment ID: I20240102000515 |
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