| Upper Bay Counseling & Support Services, Inc | |
|
71 Flint Dr North East MD 21901-3746 | |
| (410) 996-5104 | |
| Not Available |
| Full Name | Upper Bay Counseling & Support Services, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 71 Flint Dr, North East, Maryland |
| Authorized Official Name and Position | Suanne Blumberg (CEO) |
| Authorized Official Contact | 4109965104 |
| 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 71 Flint Dr North East MD 21901-3746 Ph: (410) 996-5104 |
| NPI Number | 1700552171 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 08/17/2021 |
| Certification Date | 07/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700552171 | NPI | - | NPPES |
| 922801200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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