| Access Behavioral Health Llc | |
|
3110 N Rolling Rd Windsor Mill MD 21244-2023 | |
| (410) 298-1931 | |
| (410) 298-1932 |
| Full Name | Access Behavioral Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3110 N Rolling Rd, Windsor Mill, Maryland |
| Authorized Official Name and Position | Modupe Deborah Togun (MEDICAL OFFICER) |
| Authorized Official Contact | 4102981931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Behavioral Health Llc 3110 N Rolling Rd Windsor Mill MD 21244-2023 Ph: (410) 298-1931 | Access Behavioral Health Llc 3110 N Rolling Rd Windsor Mill MD 21244-2023 Ph: (410) 298-1931 |
| NPI Number | 1720561467 |
|---|---|
| Provider Enumeration Date | 09/10/2018 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/20/2021 |
| Medicare PECOS PAC ID | 0648524116 |
|---|---|
| Medicare Enrollment ID | O20181120000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720561467 | NPI | - | NPPES |
| Provider Name | Modupe Togun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033340278 PECOS PAC ID: 4183817299 Enrollment ID: I20101021000882 |
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