| E.r.i.c.'s: A Place For Angels | |
| 
					6901 Chippewa Dr Mt Washington MD 21209-1436  | |
| (410) 602-5191 | |
| Not Available | 
| Full Name | E.r.i.c.'s: A Place For Angels | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 6901 Chippewa Dr, Mt Washington, Maryland | 
| Authorized Official Name and Position | Erica Gail Wallace (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 4106025191 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| E.r.i.c.'s: A Place For Angels 6901 Chippewa Dr Mt Washington MD 21209-1436 Ph: (410) 602-5191  | E.r.i.c.'s: A Place For Angels 6901 Chippewa Dr Mt Washington MD 21209-1436 Ph: (410) 602-5191  | 
| NPI Number | 1477983146 | 
|---|---|
| Provider Enumeration Date | 11/18/2013 | 
| Last Update Date | 11/18/2013 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477983146 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Maryland) | Primary |