My Covenant Place Behavioral Health | |
5109 York Road Suite C- 2nd Floor Baltimore MD 21212-2121 | |
(443) 759-3355 | |
Not Available |
Full Name | My Covenant Place Behavioral Health |
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Speciality | Clinic/center - Community Health |
Location | 5109 York Road, Baltimore, Maryland |
Authorized Official Name and Position | Latisha Carter (PRESIDENT/CEO) |
Authorized Official Contact | 4106609190 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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My Covenant Place Behavioral Health 5109 York Rd Suite C, 2nd Floor Baltimore MD 21212-4399 Ph: (443) 759-3355 | My Covenant Place Behavioral Health 5109 York Road Suite C- 2nd Floor Baltimore MD 21212-2121 Ph: (443) 759-3355 |
NPI Number | 1780394031 |
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Provider Enumeration Date | 11/28/2022 |
Last Update Date | 12/16/2022 |
Identifier | Type | State | Issuer |
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1780394031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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