| Temah Healthcare Services, Llc | |
|
5310 Old Court Rd Ste 304 Randallstown MD 21133-6202 | |
| (410) 521-8000 | |
| (410) 655-5826 |
| Full Name | Temah Healthcare Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5310 Old Court Rd Ste 304, Randallstown, Maryland |
| Authorized Official Name and Position | Temitope S Williams (PSYCHIATRIC MENTAL HEALTH NURSE PRA) |
| Authorized Official Contact | 4105218000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Temah Healthcare Services, Llc 4320 Brookside Oaks Owings Mills MD 21117-5169 Ph: (410) 521-8000 | Temah Healthcare Services, Llc 5310 Old Court Rd Ste 304 Randallstown MD 21133-6202 Ph: (410) 521-8000 |
| NPI Number | 1457970675 |
|---|---|
| Provider Enumeration Date | 04/09/2020 |
| Last Update Date | 04/09/2020 |
| Certification Date | 04/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457970675 | NPI | - | NPPES |
| 651406500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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