| Urban Institute Of Mental Health, Llc | |
|
1910 Towne Centre Blvd Ste 250 Annapolis MD 21401-3599 | |
| (443) 995-5984 | |
| Not Available |
| Full Name | Urban Institute Of Mental Health, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1910 Towne Centre Blvd Ste 250, Annapolis, Maryland |
| Authorized Official Name and Position | Octavia Marie Brown (CEO) |
| Authorized Official Contact | 4439955984 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Institute Of Mental Health, Llc 16 Spindrift Way Annapolis MD 21403-1013 Ph: (443) 995-5984 | Urban Institute Of Mental Health, Llc 1910 Towne Centre Blvd Ste 250 Annapolis MD 21401-3599 Ph: (443) 995-5984 |
| NPI Number | 1720604960 |
|---|---|
| Provider Enumeration Date | 06/23/2020 |
| Last Update Date | 11/14/2024 |
| Certification Date | 11/14/2024 |
| Medicare PECOS PAC ID | 3870027931 |
|---|---|
| Medicare Enrollment ID | O20241112001758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720604960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Octavia Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912523150 PECOS PAC ID: 2163956236 Enrollment ID: I20241115001341 |
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