| Maryland Soar, L.l.c. | |
|
6100 Baltimore National Pike Ste B05-07 Catonsville MD 21228-2911 | |
| (240) 825-9534 | |
| Not Available |
| Full Name | Maryland Soar, L.l.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6100 Baltimore National Pike Ste B05-07, Catonsville, Maryland |
| Authorized Official Name and Position | Lee P Goode (COO) |
| Authorized Official Contact | 2408259534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Soar, L.l.c. 6100 Baltimore National Pike Ste B05-07 Catonsville MD 21228-2911 Ph: (240) 825-9534 | Maryland Soar, L.l.c. 6100 Baltimore National Pike Ste B05-07 Catonsville MD 21228-2911 Ph: (240) 825-9534 |
| NPI Number | 1609651702 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 09/03/2023 |
| Certification Date | 09/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609651702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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