| Psychiatric Rehabiliation Program | |
|
590 Main St Prince Frederick MD 20678-3346 | |
| (410) 414-9901 | |
| (410) 414-9902 |
| Full Name | Psychiatric Rehabiliation Program |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 590 Main St, Prince Frederick, Maryland |
| Authorized Official Name and Position | Sonia Delicia Hinds (DIRECTOR) |
| Authorized Official Contact | 4104149901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Rehabiliation Program 590 Main St Prince Frederick MD 20678-3346 Ph: (410) 414-9901 | Psychiatric Rehabiliation Program 590 Main St Prince Frederick MD 20678-3346 Ph: (410) 414-9901 |
| NPI Number | 1942533773 |
|---|---|
| Provider Enumeration Date | 09/11/2009 |
| Last Update Date | 09/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942533773 | NPI | - | NPPES |
| 417174800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | R071676 (Maryland) | Primary |
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