| Revitalized Family Ministries | |
|
310 Dockside Ct Brooklyn MD 21225-2935 | |
| (410) 812-2521 | |
| Not Available |
| Full Name | Revitalized Family Ministries |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 310 Dockside Ct, Brooklyn, Maryland |
| Authorized Official Name and Position | Melissa Rae Gordon (OWNER) |
| Authorized Official Contact | 4108122521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revitalized Family Ministries Po Box 19797 Baltimore MD 21225-0597 Ph: (410) 812-2521 | Revitalized Family Ministries 310 Dockside Ct Brooklyn MD 21225-2935 Ph: (410) 812-2521 |
| NPI Number | 1174801070 |
|---|---|
| Provider Enumeration Date | 07/26/2011 |
| Last Update Date | 07/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174801070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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