| Phoenix Behavioral Health Of Maryland Inc | |
|
9405 Liberty Rd Ste E Randallstown MD 21133-2712 | |
| (443) 848-6974 | |
| Not Available |
| Full Name | Phoenix Behavioral Health Of Maryland Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9405 Liberty Rd Ste E, Randallstown, Maryland |
| Authorized Official Name and Position | Konu Bell (OWNER) |
| Authorized Official Contact | 4438486974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Behavioral Health Of Maryland Inc 9101 Amber Oaks Way Owings Mills MD 21117-5042 Ph: (443) 848-6974 | Phoenix Behavioral Health Of Maryland Inc 9405 Liberty Rd Ste E Randallstown MD 21133-2712 Ph: (443) 848-6974 |
| NPI Number | 1649164187 |
|---|---|
| Provider Enumeration Date | 06/09/2025 |
| Last Update Date | 06/09/2025 |
| Certification Date | 06/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649164187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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