| Maryland Mental Health Services, Llc | |
|
3731 Branch Ave Temple Hills MD 20748-1404 | |
| (301) 316-4456 | |
| (301) 316-4469 |
| Full Name | Maryland Mental Health Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3731 Branch Ave, Temple Hills, Maryland |
| Authorized Official Name and Position | Johnny Barton (PROGRAM DIRECTOR) |
| Authorized Official Contact | 3018021318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Mental Health Services, Llc 3731 Branch Ave Ste 309ab Temple Hills MD 20748-1404 Ph: (301) 316-4456 | Maryland Mental Health Services, Llc 3731 Branch Ave Temple Hills MD 20748-1404 Ph: (301) 316-4456 |
| NPI Number | 1508362880 |
|---|---|
| Provider Enumeration Date | 04/04/2018 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508362880 | NPI | - | NPPES |
| 7815913-02 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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