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10700 Leslie Lane Cumberland MD 21502 | |
| (240) 362-7588 | |
| (240) 362-7633 |
| Full Name | |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 10700 Leslie Lane, Cumberland, Maryland |
| Authorized Official Name and Position | Amber R Ruble (SR. VICE PRESIDENT/CFO) |
| Authorized Official Contact | 2409648032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12501 Willowbrook Rd Fl 3 Cumberland MD 21502-2506 Ph: (240) 964-8342 | 10700 Leslie Lane Cumberland MD 21502 Ph: (240) 362-7588 |
| NPI Number | 1174141592 |
|---|---|
| Provider Enumeration Date | 07/13/2020 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174141592 | NPI | - | NPPES |
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