| Up Start, Llc | |
|
4723 Shamrock Ave Baltimore MD 21206-6864 | |
| (443) 621-1580 | |
| Not Available |
| Full Name | Up Start, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4723 Shamrock Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Tammy Coley (OWNER) |
| Authorized Official Contact | 4436211580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Up Start, Llc 8 Schooner Bay Ct Middle River MD 21220-7504 Ph: (443) 621-1580 | Up Start, Llc 4723 Shamrock Ave Baltimore MD 21206-6864 Ph: (443) 621-1580 |
| NPI Number | 1245956994 |
|---|---|
| Provider Enumeration Date | 10/14/2022 |
| Last Update Date | 10/14/2022 |
| Certification Date | 10/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245956994 | NPI | - | NPPES |
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