Full Name | |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 106 Bow St, Elkton, Maryland |
Authorized Official Name and Position | Judy Riesen (DIRECTOR OF REVENUE CYCLE) |
Authorized Official Contact | 4103984000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 7356 Lancaster PA 17604-7356 Ph: (410) 398-3868 | 106 Bow St Elkton MD 21921-5544 Ph: (410) 398-4000 |
NPI Number | 1689978751 |
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Provider Enumeration Date | 01/05/2011 |
Last Update Date | 06/17/2024 |
Certification Date | 06/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689978751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
282N00000X | General Acute Care Hospital | (* (Not Available)) | Secondary |
Brantwood Fs Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1190 Augustine Herman Hwy, Elkton, MD 21921 Phone: 443-655-5116 | |
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Cecil County Infants & Toddlers Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Booth St, Elkton, MD 21921 Phone: 410-996-5444 | |