| Omhc | |
|
1576 Merritt Blvd Ste 8 Dundalk MD 21222-2114 | |
| (443) 530-6533 | |
| Not Available |
| Full Name | Omhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1576 Merritt Blvd Ste 8, Dundalk, Maryland |
| Authorized Official Name and Position | Jill Marie Grier (CREDENTIAL CONTACT) |
| Authorized Official Contact | 7576312723 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omhc 750 Concourse Cir Ste 103-203 Middle River MD 21220-2995 Ph: (443) 530-6921 | Omhc 1576 Merritt Blvd Ste 8 Dundalk MD 21222-2114 Ph: (443) 530-6533 |
| NPI Number | 1962040626 |
|---|---|
| Provider Enumeration Date | 12/12/2019 |
| Last Update Date | 03/31/2023 |
| Certification Date | 04/19/2022 |
| Medicare PECOS PAC ID | 3375904451 |
|---|---|
| Medicare Enrollment ID | O20230806000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962040626 | NPI | - | NPPES |
| 985059 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Katherine Betty Arend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588144216 PECOS PAC ID: 7810358991 Enrollment ID: I20230806000026 |
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