| Visionary Community Services | |
|
7004 Security Blvd Ste 300a-17 Windsor Mill MD 21244-2557 | |
| (410) 812-0829 | |
| Not Available |
| Full Name | Visionary Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7004 Security Blvd Ste 300a-17, Windsor Mill, Maryland |
| Authorized Official Name and Position | Kourtney Hunter-sams (OWNER) |
| Authorized Official Contact | 4108120829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Visionary Community Services 7004 Security Blvd Ste 300a-17 Windsor Mill MD 21244-2557 Ph: () - | Visionary Community Services 7004 Security Blvd Ste 300a-17 Windsor Mill MD 21244-2557 Ph: (410) 812-0829 |
| NPI Number | 1639958507 |
|---|---|
| Provider Enumeration Date | 09/28/2023 |
| Last Update Date | 09/28/2023 |
| Certification Date | 09/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639958507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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