| Villa Maria Behavioral Health Services - Dundalk Prp | |
|
2 N Dundalk Ave Dundalk MD 21222-4221 | |
| (667) 600-3681 | |
| Not Available |
| Full Name | Villa Maria Behavioral Health Services - Dundalk Prp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2 N Dundalk Ave, Dundalk, Maryland |
| Authorized Official Name and Position | Gloria Reeves (BILLING MANAGER) |
| Authorized Official Contact | 6676002249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Villa Maria Behavioral Health Services - Dundalk Prp 2300 Dulaney Valley Rd Timonium MD 21093-2739 Ph: (667) 600-2249 | Villa Maria Behavioral Health Services - Dundalk Prp 2 N Dundalk Ave Dundalk MD 21222-4221 Ph: (667) 600-3681 |
| NPI Number | 1801383559 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 01/03/2020 |
| Certification Date | 01/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801383559 | NPI | - | NPPES |
| 419835210 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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