| Lotus Behavioral Health And Rehabilitation Services Inc. | |
|
6426 Harrison Square Glen Burnie MD 21061 | |
| (215) 298-3770 | |
| Not Available |
| Full Name | Lotus Behavioral Health And Rehabilitation Services Inc. |
|---|---|
| Speciality | Behavior Technician |
| Location | 6426 Harrison Square, Glen Burnie, Maryland |
| Authorized Official Name and Position | Nefertiti Amenra (CEO) |
| Authorized Official Contact | 2152983770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Behavioral Health And Rehabilitation Services Inc. 6426 Harrison Sq Glen Burnie MD 21061-1811 Ph: (267) 495-6865 | Lotus Behavioral Health And Rehabilitation Services Inc. 6426 Harrison Square Glen Burnie MD 21061 Ph: (215) 298-3770 |
| NPI Number | 1255814422 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 09/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255814422 | NPI | - | NPPES |
| 1841664851 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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