State Of Maryland Dep Of Health Mental Hygiene | |
604 Churchill Road Suite#p Bel Air MD 21014 | |
(410) 893-7743 | |
Not Available |
Full Name | State Of Maryland Dep Of Health Mental Hygiene |
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Speciality | Community/behavioral Health |
Location | 604 Churchill Road, Bel Air, Maryland |
Authorized Official Name and Position | June Eanes (ADDICTION COUNSELOR) |
Authorized Official Contact | 4108937743 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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State Of Maryland Dep Of Health Mental Hygiene 604 Churchill Rd Bel Air MD 21014-4227 Ph: (410) 838-8533 | State Of Maryland Dep Of Health Mental Hygiene 604 Churchill Road Suite#p Bel Air MD 21014 Ph: (410) 893-7743 |
NPI Number | 1821129461 |
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Provider Enumeration Date | 03/07/2007 |
Last Update Date | 08/13/2007 |
Identifier | Type | State | Issuer |
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1821129461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | AC0570 (Maryland) | Primary |
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