| Mindful Behavioral Of Maryland | |
|
3109 Parkway Cheverly MD 20785-1256 | |
| (919) 697-0767 | |
| Not Available |
| Full Name | Mindful Behavioral Of Maryland |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3109 Parkway, Cheverly, Maryland |
| Authorized Official Name and Position | Akila Proctor (PRESIDENT) |
| Authorized Official Contact | 9196970767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Behavioral Of Maryland 3109 Parkway Cheverly MD 20785-1256 Ph: () - | Mindful Behavioral Of Maryland 3109 Parkway Cheverly MD 20785-1256 Ph: (919) 697-0767 |
| NPI Number | 1366879512 |
|---|---|
| Provider Enumeration Date | 10/02/2013 |
| Last Update Date | 10/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366879512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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