Win Team | |
33 S Main St Port Deposit MD 21904-1771 | |
(410) 578-8003 | |
Not Available |
Full Name | Win Team |
---|---|
Speciality | Community/behavioral Health |
Location | 33 S Main St, Port Deposit, Maryland |
Authorized Official Name and Position | Alford 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 2502 W Northern Pkwy Baltimore MD 21215-4707 Ph: (410) 578-8003 | Win Team 33 S Main St Port Deposit MD 21904-1771 Ph: (410) 578-8003 |
NPI Number | 1174073423 |
---|---|
Provider Enumeration Date | 10/11/2016 |
Last Update Date | 12/14/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174073423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 08467 (Maryland) | Primary |
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