| Prologue, Inc | |
|
3 Milford Mill Rd Pikesville MD 21208-6019 | |
| (410) 653-6190 | |
| (410) 653-6566 |
| Full Name | Prologue, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3 Milford Mill Rd, Pikesville, Maryland |
| Authorized Official Name and Position | Sendy K Rommel (PRESIDENT-CEO) |
| Authorized Official Contact | 4106536190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prologue, Inc 3 Milford Mill Rd Pikesville MD 21208-6019 Ph: (410) 653-6190 | Prologue, Inc 3 Milford Mill Rd Pikesville MD 21208-6019 Ph: (410) 653-6190 |
| NPI Number | 1861608556 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 07/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861608556 | NPI | - | NPPES |
| 588771200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2369 (Maryland) | Primary |
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