Lotus Behavioral Health And Rehabilitation Services Inc. | |
6426 Harrison Square Glen Burnie MD 21061 | |
(215) 298-3770 | |
Not Available |
Full Name | Lotus Behavioral Health And Rehabilitation Services Inc. |
---|---|
Speciality | Behavior Technician |
Location | 6426 Harrison Square, Glen Burnie, Maryland |
Authorized Official Name and Position | Nefertiti Amenra (CEO) |
Authorized Official Contact | 2152983770 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lotus Behavioral Health And Rehabilitation Services Inc. 6426 Harrison Sq Glen Burnie MD 21061-1811 Ph: (267) 495-6865 | Lotus Behavioral Health And Rehabilitation Services Inc. 6426 Harrison Square Glen Burnie MD 21061 Ph: (215) 298-3770 |
NPI Number | 1255814422 |
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Provider Enumeration Date | 09/12/2018 |
Last Update Date | 09/12/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255814422 | NPI | - | NPPES |
1841664851 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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