Trico Clinical Services, Ltd | |
46707 S. Shangri La Drive Lexington Park MD 20653 | |
(301) 862-4961 | |
(301) 862-5554 |
Full Name | Trico Clinical Services, Ltd |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 46707 S. Shangri La Drive, Lexington Park, Maryland |
Authorized Official Name and Position | William E Arick (PRESIDENT) |
Authorized Official Contact | 3018624961 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Trico Clinical Services, Ltd P.o. Box 826 Lexington Park MD 20653 Ph: (301) 862-4961 | Trico Clinical Services, Ltd 46707 S. Shangri La Drive Lexington Park MD 20653 Ph: (301) 862-4961 |
NPI Number | 1982032694 |
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Provider Enumeration Date | 10/16/2013 |
Last Update Date | 10/16/2013 |
Identifier | Type | State | Issuer |
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1982032694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (Maryland) | Primary |
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