Ripples Of Change | |
11265 Dovedale Ct Marriottsville MD 21104-1644 | |
(410) 207-6687 | |
Not Available |
Full Name | Ripples Of Change |
---|---|
Speciality | Community/behavioral Health |
Location | 11265 Dovedale Ct, Marriottsville, Maryland |
Authorized Official Name and Position | Kendra Benesch (OWNER) |
Authorized Official Contact | 4102076687 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ripples Of Change Po Box 220 Finksburg MD 21048-0220 Ph: () - | Ripples Of Change 11265 Dovedale Ct Marriottsville MD 21104-1644 Ph: (410) 207-6687 |
NPI Number | 1194120139 |
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Provider Enumeration Date | 11/04/2014 |
Last Update Date | 11/04/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194120139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LGP5164 (Maryland) | Primary |
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