| Prosperity Medical And Health System, Llc | |
|
13922 Baltimore Ave Laurel MD 20707-5009 | |
| (301) 483-3333 | |
| (301) 483-3336 |
| Full Name | Prosperity Medical And Health System, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 13922 Baltimore Ave, Laurel, Maryland |
| Authorized Official Name and Position | Mathias C Bama (CEO) |
| Authorized Official Contact | 3018378493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosperity Medical And Health System, Llc 13922 Baltimore Ave Laurel MD 20707-5009 Ph: (301) 483-3333 | Prosperity Medical And Health System, Llc 13922 Baltimore Ave Laurel MD 20707-5009 Ph: (301) 483-3333 |
| NPI Number | 1588346118 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 08/03/2023 |
| Certification Date | 08/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588346118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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