| Upper Bay Counseling & Support Services, Inc | |
|
200 Booth St Elkton MD 21921-5657 | |
| (410) 996-5104 | |
| (410) 398-3416 |
| Full Name | Upper Bay Counseling & Support Services, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 200 Booth St, Elkton, Maryland |
| Authorized Official Name and Position | Suanne Blumberg (CEO) |
| Authorized Official Contact | 4109965400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper Bay Counseling & Support Services, Inc 200 Booth St Elkton MD 21921-5657 Ph: (410) 996-5104 | Upper Bay Counseling & Support Services, Inc 200 Booth St Elkton MD 21921-5657 Ph: (410) 996-5104 |
| NPI Number | 1972149995 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 11/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972149995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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