| Pleasant Place | |
|
2474 Cambridge Beltway Cambridge MD 21613-3679 | |
| (410) 228-0190 | |
| (410) 221-8064 |
| Full Name | Pleasant Place |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2474 Cambridge Beltway, Cambridge, Maryland |
| Authorized Official Name and Position | Jackie J Vickers (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4102280190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pleasant Place 2474 Cambridge Beltway Cambridge MD 21613-3679 Ph: (410) 228-0190 | Pleasant Place 2474 Cambridge Beltway Cambridge MD 21613-3679 Ph: (410) 228-0190 |
| NPI Number | 1568662989 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 07/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568662989 | NPI | - | NPPES |
| 8800006500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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