| Mmbr Behavioral Health Services Inc | |
|
3804 S.hanover Street Brooklyn MD 20774 | |
| (443) 438-3457 | |
| Not Available |
| Full Name | Mmbr Behavioral Health Services Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 3804 S.hanover Street, Brooklyn, Maryland |
| Authorized Official Name and Position | Bolakunmi Yusuf (MANAGER) |
| Authorized Official Contact | 4434383457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmbr Behavioral Health Services Inc 3804 S.hanover Street Brooklyn MD 20774 Ph: (443) 438-3457 | Mmbr Behavioral Health Services Inc 3804 S.hanover Street Brooklyn MD 20774 Ph: (443) 438-3457 |
| NPI Number | 1457938359 |
|---|---|
| Provider Enumeration Date | 03/26/2021 |
| Last Update Date | 03/26/2021 |
| Certification Date | 03/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457938359 | NPI | - | NPPES |
| 3016555086 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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