Lower Shore Clinic Mobile Treatment | |
431 E Main St Salisbury MD 21804 | |
(410) 341-9696 | |
Not Available |
Full Name | Lower Shore Clinic Mobile Treatment |
---|---|
Speciality | Community/behavioral Health |
Location | 431 E Main St, Salisbury, Maryland |
Authorized Official Name and Position | Kristine Gartlitz (CLINIC DIRECTOR) |
Authorized Official Contact | 4103413420 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lower Shore Clinic Mobile Treatment 505 E Main St Salisbury MD 21804-5020 Ph: (410) 341-9696 | Lower Shore Clinic Mobile Treatment 431 E Main St Salisbury MD 21804 Ph: (410) 341-9696 |
NPI Number | 1275858417 |
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Provider Enumeration Date | 03/31/2010 |
Last Update Date | 09/25/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275858417 | NPI | - | NPPES |
419307500 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 4606 (Maryland) | Primary |
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