| Avbryta LLC | |
|
45 Warrernton Road Baltimore, MD 21210 | |
| (302) 299-2554 | |
| Not Available |
| Full Name | Avbryta LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 45 Warrernton Road, Baltimore,, Maryland |
| Authorized Official Name and Position | John Johnson (AO) |
| Authorized Official Contact | 3022992554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avbryta LLC 45 Warrernton Road Baltimore, MD 21210 | Avbryta LLC 45 Warrernton Road Baltimore, MD 21210 Ph: (302) 299-2554 |
| NPI Number | 1689412470 |
|---|---|
| Provider Enumeration Date | 07/17/2024 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689412470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |