| Way Station, Inc. | |
|
1419 Madison Park Dr Fl 1 Glen Burnie MD 21061-5613 | |
| (410) 768-2719 | |
| Not Available |
| Full Name | Way Station, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1419 Madison Park Dr Fl 1, Glen Burnie, Maryland |
| Authorized Official Name and Position | Robin Guy Elchin (BILLING DIRECTOR) |
| Authorized Official Contact | 2406083464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Way Station, Inc. Po Box 3286 Frederick MD 21705-3286 Ph: (410) 768-2719 | Way Station, Inc. 1419 Madison Park Dr Fl 1 Glen Burnie MD 21061-5613 Ph: (410) 768-2719 |
| NPI Number | 1629715107 |
|---|---|
| Provider Enumeration Date | 05/17/2022 |
| Last Update Date | 09/12/2022 |
| Certification Date | 09/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629715107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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