| Elizabeth Mcintosh, Llc | |
|
2324 W Joppa Rd Ste 130 Lutherville MD 21093-4615 | |
| (410) 258-5681 | |
| Not Available |
| Full Name | Elizabeth Mcintosh, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2324 W Joppa Rd Ste 130, Lutherville, Maryland |
| Authorized Official Name and Position | Elizabeth Mcintosh (RESIDENT AGENT) |
| Authorized Official Contact | 4102585681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Mcintosh, Llc 49 Cedar Chip Ct Parkville MD 21234-8035 Ph: () - | Elizabeth Mcintosh, Llc 2324 W Joppa Rd Ste 130 Lutherville MD 21093-4615 Ph: (410) 258-5681 |
| NPI Number | 1104302611 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 05/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104302611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LC6434 (Maryland) | Primary |
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