| Outpatient Mental Health Clinic | |
|
2500 N Rolling Rd Ste 100 Windsor Mill MD 21244-1999 | |
| (443) 854-5899 | |
| (443) 272-2664 |
| Full Name | Outpatient Mental Health Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2500 N Rolling Rd Ste 100, Windsor Mill, Maryland |
| Authorized Official Name and Position | Olufemi Olawale (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4438545899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outpatient Mental Health Clinic 2500 N Rolling Rd Ste 100 Windsor Mill MD 21244-1999 Ph: (443) 854-5899 | Outpatient Mental Health Clinic 2500 N Rolling Rd Ste 100 Windsor Mill MD 21244-1999 Ph: (443) 854-5899 |
| NPI Number | 1093334203 |
|---|---|
| Provider Enumeration Date | 04/09/2020 |
| Last Update Date | 04/09/2020 |
| Certification Date | 04/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093334203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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