| Main Street Community Mental Health Clinic | |
|
37 Main St Reisterstown MD 21136-1236 | |
| (410) 526-7882 | |
| (410) 526-9855 |
| Full Name | Main Street Community Mental Health Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 37 Main St, Reisterstown, Maryland |
| Authorized Official Name and Position | Pamala Sobol Ryan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4105267882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Community Mental Health Clinic 37 Main St Reisterstown MD 21136-1236 Ph: (410) 526-7882 | Main Street Community Mental Health Clinic 37 Main St Reisterstown MD 21136-1236 Ph: (410) 526-7882 |
| NPI Number | 1194874867 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 01/03/2024 |
| Certification Date | 01/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194874867 | NPI | - | NPPES |
| 404353700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041S0200X | Social Worker - School | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (Maryland) | Primary |
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Main Street Community Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 Main St, Reisterstown, MD 21136 Phone: 410-526-7882 Fax: 410-526-9855 |