| River Bay Behavioral Health | |
|
101 Log Canoe Cir Ste F Stevensville MD 21666-2106 | |
| (443) 775-0126 | |
| Not Available |
| Full Name | River Bay Behavioral Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 101 Log Canoe Cir Ste F, Stevensville, Maryland |
| Authorized Official Name and Position | Randall Bruce Minteer (OWNER) |
| Authorized Official Contact | 4437750126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Bay Behavioral Health 101 Log Canoe Cir Ste F Stevensville MD 21666-2106 Ph: (443) 775-0126 | River Bay Behavioral Health 101 Log Canoe Cir Ste F Stevensville MD 21666-2106 Ph: (443) 775-0126 |
| NPI Number | 1114420957 |
|---|---|
| Provider Enumeration Date | 03/16/2018 |
| Last Update Date | 03/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114420957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 20221 (Maryland) | Primary |
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