| Erc Maryland | |
|
7505 Osler Dr Ste 405 Towson MD 21204-7739 | |
| (877) 825-8584 | |
| Not Available |
| Full Name | Erc Maryland |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7505 Osler Dr Ste 405, Towson, Maryland |
| Authorized Official Name and Position | Marina Shepel (CREDENTIALING AND CONTRACTING MANAG) |
| Authorized Official Contact | 2063834781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erc Maryland Po Box 561577 Denver CO 80256-0001 Ph: () - | Erc Maryland 7505 Osler Dr Ste 405 Towson MD 21204-7739 Ph: (877) 825-8584 |
| NPI Number | 1528679834 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 08/11/2020 |
| Certification Date | 08/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528679834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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