| Archway Station, Inc. | |
|
408 N Centre St Cumberland MD 21502-2204 | |
| (301) 777-1700 | |
| (301) 722-1209 |
| Full Name | Archway Station, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 408 N Centre St, Cumberland, Maryland |
| Authorized Official Name and Position | Joy Ann Reckley-murphy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3017771700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Archway Station, Inc. 408 N Centre St Cumberland MD 21502-2204 Ph: (301) 777-1700 | Archway Station, Inc. 408 N Centre St Cumberland MD 21502-2204 Ph: (301) 777-1700 |
| NPI Number | 1083162390 |
|---|---|
| Provider Enumeration Date | 09/15/2016 |
| Last Update Date | 09/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083162390 | NPI | - | NPPES |
| 588551500 | Medicaid | MD | |
| 588551501 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 4810 (Maryland) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 4810 (Maryland) | Secondary |
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