| University Of Maryland Medical Center, Llc | |
|
1001 W Pratt St 2nd Floor Baltimore MD 21223-2682 | |
| (717) 428-0552 | |
| (717) 428-0518 |
| Full Name | University Of Maryland Medical Center, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1001 W Pratt St, Baltimore, Maryland |
| Authorized Official Name and Position | George Sprinkel (CFO) |
| Authorized Official Contact | 4103281501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Maryland Medical Center, Llc Po Box 62498 Baltimore MD 21264-2498 Ph: (717) 428-0552 | University Of Maryland Medical Center, Llc 1001 W Pratt St 2nd Floor Baltimore MD 21223-2682 Ph: (717) 428-0552 |
| NPI Number | 1508065178 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508065178 | NPI | - | NPPES |
| 418649400 | Medicaid | MD | |
| 850027400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 14303 (Maryland) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 903649 (Maryland) | Primary |
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