| Family And Childrens Services Of Central Maryland Inc | |
|
4623 Falls Rd Baltimore MD 21209-4914 | |
| (410) 366-1980 | |
| (410) 366-8530 |
| Full Name | Family And Childrens Services Of Central Maryland Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4623 Falls Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Jessie Costley (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4103661980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Childrens Services Of Central Maryland Inc 4623 Falls Rd Baltimore MD 21209-4914 Ph: (410) 366-1980 | Family And Childrens Services Of Central Maryland Inc 4623 Falls Rd Baltimore MD 21209-4914 Ph: (410) 366-1980 |
| NPI Number | 1407351778 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 08/13/2020 |
| Certification Date | 08/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407351778 | NPI | - | NPPES |
| 132820401 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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