| Mosaic Community Services, Inc. | |
|
4510 Wharf Point Ct Belcamp MD 21017-1212 | |
| (410) 420-7292 | |
| (443) 612-1436 |
| Full Name | Mosaic Community Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4510 Wharf Point Ct, Belcamp, Maryland |
| Authorized Official Name and Position | Sue Kessler (DIRECTOR OF BILLING) |
| Authorized Official Contact | 4104539553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Community Services, Inc. 1925 Greenspring Dr Timonium MD 21093-4128 Ph: (410) 453-9553 | Mosaic Community Services, Inc. 4510 Wharf Point Ct Belcamp MD 21017-1212 Ph: (410) 420-7292 |
| NPI Number | 1629420583 |
|---|---|
| Provider Enumeration Date | 07/05/2016 |
| Last Update Date | 01/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629420583 | NPI | - | NPPES |
| BH001366 | Other | MD | BHA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MH-2042 (Maryland) | Primary |
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