| Total Access Rehabilitation Center Llc | |
|
2522 Burridge Rd Parkville MD 21234-4005 | |
| (443) 750-2204 | |
| Not Available |
| Full Name | Total Access Rehabilitation Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2522 Burridge Rd, Parkville, Maryland |
| Authorized Official Name and Position | Kameron Justin White (OWNER) |
| Authorized Official Contact | 4437502204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Access Rehabilitation Center Llc 2522 Burridge Rd Parkville MD 21234-4005 Ph: (443) 750-2204 | Total Access Rehabilitation Center Llc 2522 Burridge Rd Parkville MD 21234-4005 Ph: (443) 750-2204 |
| NPI Number | 1134981293 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134981293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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