| Msa The Child And Adolescent Center | |
|
10005 Old Columbia Rd Suite L260 Columbia MD 21046-1702 | |
| (443) 259-0400 | |
| Not Available |
| Full Name | Msa The Child And Adolescent Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10005 Old Columbia Rd, Columbia, Maryland |
| Authorized Official Name and Position | Martin Slutsky (OWNER) |
| Authorized Official Contact | 4432590400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Msa The Child And Adolescent Center 10005 Old Columbia Rd Suite L260 Columbia MD 21046-1702 Ph: (443) 259-0400 | Msa The Child And Adolescent Center 10005 Old Columbia Rd Suite L260 Columbia MD 21046-1702 Ph: (443) 259-0400 |
| NPI Number | 1508275074 |
|---|---|
| Provider Enumeration Date | 08/08/2014 |
| Last Update Date | 08/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508275074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LC5864 (Maryland) | Primary |
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