| Your Safe Space | |
|
10111 Martin Luther King Jr Hwy Ste 103 Bowie MD 20720-4225 | |
| (301) 459-0708 | |
| Not Available |
| Full Name | Your Safe Space |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10111 Martin Luther King Jr Hwy Ste 103, Bowie, Maryland |
| Authorized Official Name and Position | Carolyn Simms (OWNER) |
| Authorized Official Contact | 3019804581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Safe Space 10111 Martin Luther King Jr Hwy Ste 103 Bowie MD 20720-4225 Ph: (301) 459-0708 | Your Safe Space 10111 Martin Luther King Jr Hwy Ste 103 Bowie MD 20720-4225 Ph: (301) 459-0708 |
| NPI Number | 1982348165 |
|---|---|
| Provider Enumeration Date | 04/25/2022 |
| Last Update Date | 04/25/2022 |
| Certification Date | 04/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982348165 | NPI | - | NPPES |
| 819022400 | Medicaid | MD |
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