| Win Team, Llc | |
|
4640 Edmondson Avenue Baltimore MD 21229 | |
| (410) 578-8003 | |
| Not Available |
| Full Name | Win Team, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4640 Edmondson Avenue, Baltimore, Maryland |
| Authorized Official Name and Position | Alford W. Laws (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4105788003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Win Team, Llc 4715 Wards Chapel Road Owings Mills MD 21117 Ph: (410) 578-8003 | Win Team, Llc 4640 Edmondson Avenue Baltimore MD 21229 Ph: (410) 578-8003 |
| NPI Number | 1174008585 |
|---|---|
| Provider Enumeration Date | 10/02/2018 |
| Last Update Date | 10/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174008585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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