| Ruby Road Llc | |
|
260 Gateway Dr Suite 3-4b Bel Air MD 21014-4268 | |
| (443) 990-1522 | |
| Not Available |
| Full Name | Ruby Road Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 260 Gateway Dr, Bel Air, Maryland |
| Authorized Official Name and Position | Susan Rogers (OWNER) |
| Authorized Official Contact | 4439901522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruby Road Llc 260 Gateway Dr Suite 3-4b Bel Air MD 21014-4268 Ph: () - | Ruby Road Llc 260 Gateway Dr Suite 3-4b Bel Air MD 21014-4268 Ph: (443) 990-1522 |
| NPI Number | 1295142172 |
|---|---|
| Provider Enumeration Date | 07/12/2014 |
| Last Update Date | 07/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295142172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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