| Mount Clare Healthchoices, Llc | |
|
20300 Seneca Meadows Pkwy Ste 215 Germantown MD 20876-7021 | |
| (410) 929-6334 | |
| Not Available |
| Full Name | Mount Clare Healthchoices, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20300 Seneca Meadows Pkwy Ste 215, Germantown, Maryland |
| Authorized Official Name and Position | Jae Hoon Kim (CEO) |
| Authorized Official Contact | 4109296334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Clare Healthchoices, Llc 3460 Queensborough Dr Olney MD 20832-2545 Ph: () - | Mount Clare Healthchoices, Llc 20300 Seneca Meadows Pkwy Ste 215 Germantown MD 20876-7021 Ph: (410) 929-6334 |
| NPI Number | 1912431743 |
|---|---|
| Provider Enumeration Date | 04/19/2017 |
| Last Update Date | 04/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912431743 | NPI | - | NPPES |
| 587108500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | R189134 (Maryland) | Primary |
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