| Behavioral Health Buprenorphine | |
|
12503 Willowbrook Rd Cumberland MD 21502-2554 | |
| (301) 759-5050 | |
| (301) 777-5630 |
| Full Name | Behavioral Health Buprenorphine |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12503 Willowbrook Rd, Cumberland, Maryland |
| Authorized Official Name and Position | Sue V Raver (ALLEGANY COUNTY HEALTH OFFICER) |
| Authorized Official Contact | 3017595000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Buprenorphine Po Box 1745 Cumberland MD 21501-1745 Ph: (301) 759-5000 | Behavioral Health Buprenorphine 12503 Willowbrook Rd Cumberland MD 21502-2554 Ph: (301) 759-5050 |
| NPI Number | 1043600794 |
|---|---|
| Provider Enumeration Date | 02/03/2015 |
| Last Update Date | 02/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043600794 | NPI | - | NPPES |
| 323817 | Other | MD | VALUE OPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 905407 (Maryland) | Primary |
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