| Main Street Community Mental Health Center | |
|
37 Main St Reisterstown MD 21136-1236 | |
| (410) 526-7882 | |
| (410) 526-9855 |
| Full Name | Main Street Community Mental Health Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 37 Main St, Reisterstown, Maryland |
| Authorized Official Name and Position | Pamala Ryan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4106546658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Community Mental Health Center 37 Main St Reisterstown MD 21136-1236 Ph: (410) 526-7882 | Main Street Community Mental Health Center 37 Main St Reisterstown MD 21136-1236 Ph: (410) 526-7882 |
| NPI Number | 1154511236 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 02/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154511236 | NPI | - | NPPES |
| 749002000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Maryland) | Primary |
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