| Cipm, Llc | |
|
242 Merrimac Court Prince Frederick MD 20678-0022 | |
| (410) 535-6520 | |
| (410) 535-6523 |
| Full Name | Cipm, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 242 Merrimac Court, Prince Frederick, Maryland |
| Authorized Official Name and Position | Venera R Miller (OWNER) |
| Authorized Official Contact | 4105356520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cipm, Llc Po Box 22 Prince Frederick MD 20678-0022 Ph: (410) 535-6520 | Cipm, Llc 242 Merrimac Court Prince Frederick MD 20678-0022 Ph: (410) 535-6520 |
| NPI Number | 1649421835 |
|---|---|
| Provider Enumeration Date | 10/06/2008 |
| Last Update Date | 03/03/2025 |
| Certification Date | 02/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649421835 | NPI | - | NPPES |
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