| Masn Limited Liability Company | |
|
1900 E. Northern Parkway Suit 300-301 300-301 Baltimore MD 21239 | |
| (443) 449-0409 | |
| Not Available |
| Full Name | Masn Limited Liability Company |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1900 E. Northern Parkway Suit 300-301, Baltimore, Maryland |
| Authorized Official Name and Position | Shirelle W Dickerson (CHIEF OPERATION OFFICER) |
| Authorized Official Contact | 1444490409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Masn Limited Liability Company 1900 E Northern Pkwy Ste 301302 Baltimore MD 21239-2113 Ph: (443) 449-0409 | Masn Limited Liability Company 1900 E. Northern Parkway Suit 300-301 300-301 Baltimore MD 21239 Ph: (443) 449-0409 |
| NPI Number | 1013713395 |
|---|---|
| Provider Enumeration Date | 02/19/2025 |
| Last Update Date | 04/04/2025 |
| Certification Date | 04/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013713395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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