| Black Rock Integrative Medicine | |
|
17666 Technology Blvd Hagerstown MD 21740-2074 | |
| (301) 790-4938 | |
| (301) 850-2135 |
| Full Name | Black Rock Integrative Medicine |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 17666 Technology Blvd, Hagerstown, Maryland |
| Authorized Official Name and Position | Sheri Denham (NP) |
| Authorized Official Contact | 3017904938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Rock Integrative Medicine 17666 Technology Blvd Hagerstown MD 21740-2074 Ph: (301) 790-4938 | Black Rock Integrative Medicine 17666 Technology Blvd Hagerstown MD 21740-2074 Ph: (301) 790-4938 |
| NPI Number | 1285247817 |
|---|---|
| Provider Enumeration Date | 08/24/2020 |
| Last Update Date | 08/24/2020 |
| Certification Date | 08/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285247817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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