| Maryland Family Care, Inc | |
|
301 St Paul Place Medical Staff Office Baltimore, Md 21202 MD 21202 | |
| (410) 659-2963 | |
| (410) 332-9789 |
| Full Name | Maryland Family Care, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 301 St Paul Place, Baltimore, Md 21202, Maryland |
| Authorized Official Name and Position | Janelle Duncan (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4106592963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Family Care, Inc P.o. Box 824173 Philadelphia PA 19182-4173 Ph: (410) 659-2963 | Maryland Family Care, Inc 301 St Paul Place Medical Staff Office Baltimore, Md 21202 MD 21202 Ph: (410) 659-2963 |
| NPI Number | 1023757713 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 05/23/2024 |
| Certification Date | 08/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023757713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |