Sttar Center Inc | |
9810 Patuxent Woods Dr Suite C Columbia MD 21046-1595 | |
(410) 290-6432 | |
(410) 290-6604 |
Full Name | Sttar Center Inc |
---|---|
Speciality | Social Worker - Clinical |
Location | 9810 Patuxent Woods Dr, Columbia, Maryland |
Authorized Official Name and Position | Loretta Jeannie Dillingham (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4102906432 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sttar Center Inc 9810 Patuxent Woods Dr Suite C Columbia MD 21046-1595 Ph: (410) 290-6432 | Sttar Center Inc 9810 Patuxent Woods Dr Suite C Columbia MD 21046-1595 Ph: (410) 290-6432 |
NPI Number | 1093832180 |
---|---|
Provider Enumeration Date | 03/23/2007 |
Last Update Date | 07/01/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093832180 | NPI | - | NPPES |
KK48TH | Other | MD | CAREFIRST BCBS OF MD |
4609758 | Other | MD | AETNA |
554418000 | Other | MD | MAGELLAN BEHAVIORAL HEALT |
447531300 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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