| Pinnacle Enrichment Healthcare Services,llc | |
|
7700 Old Branch Ave Ste E101 Clinton MD 20735-1628 | |
| (301) 877-1400 | |
| (301) 576-7968 |
| Full Name | Pinnacle Enrichment Healthcare Services,llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7700 Old Branch Ave Ste E101, Clinton, Maryland |
| Authorized Official Name and Position | Myron V Johnson (OWNER) |
| Authorized Official Contact | 9012708002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Enrichment Healthcare Services,llc 7700 Old Branch Ave Ste E101 Clinton MD 20735-1628 Ph: (301) 877-1400 | Pinnacle Enrichment Healthcare Services,llc 7700 Old Branch Ave Ste E101 Clinton MD 20735-1628 Ph: (301) 877-1400 |
| NPI Number | 1144698812 |
|---|---|
| Provider Enumeration Date | 09/11/2015 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144698812 | NPI | - | NPPES |
| 130016400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Secondary |
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