| Mending Minds With S.w.a.t | |
|
150 S Azar Ave Glen Burnie MD 21060-6505 | |
| (410) 684-3424 | |
| Not Available |
| Full Name | Mending Minds With S.w.a.t |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 150 S Azar Ave, Glen Burnie, Maryland |
| Authorized Official Name and Position | Tandra Lynn Jones (CEO/PROGRAM DIRECTOR) |
| Authorized Official Contact | 4108418161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mending Minds With S.w.a.t 901 Furnace Branch Rd Glen Burnie MD 21061-1415 Ph: (410) 841-8161 | Mending Minds With S.w.a.t 150 S Azar Ave Glen Burnie MD 21060-6505 Ph: (410) 684-3424 |
| NPI Number | 1629772090 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 07/24/2023 |
| Certification Date | 07/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629772090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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