| Villa Maria Bcars In Home Prp | |
|
1118 Light St Suite 200 Baltimore MD 21230-4135 | |
| (667) 600-2880 | |
| Not Available |
| Full Name | Villa Maria Bcars In Home Prp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1118 Light St, Baltimore, Maryland |
| Authorized Official Name and Position | Gloria Reeves (A/R AND BILLING MANAGER) |
| Authorized Official Contact | 6676002249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Villa Maria Bcars In Home Prp 2300 Dulaney Valley Rd Timonium MD 21093-2739 Ph: (667) 600-2249 | Villa Maria Bcars In Home Prp 1118 Light St Suite 200 Baltimore MD 21230-4135 Ph: (667) 600-2880 |
| NPI Number | 1326164534 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 01/03/2020 |
| Certification Date | 01/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326164534 | NPI | - | NPPES |
| 153800402 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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