| Vintage Behavioral Healthcare Center Llc | |
|
4041 Powder Mill Rd Ste 322b Beltsville MD 20705-3106 | |
| (202) 843-3537 | |
| Not Available |
| Full Name | Vintage Behavioral Healthcare Center Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4041 Powder Mill Rd Ste 322b, Beltsville, Maryland |
| Authorized Official Name and Position | Elijah Jones (CEO) |
| Authorized Official Contact | 2028433537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vintage Behavioral Healthcare Center Llc 4041 Powder Mill Rd Ste 322b Beltsville MD 20705-3106 Ph: (202) 843-3537 | Vintage Behavioral Healthcare Center Llc 4041 Powder Mill Rd Ste 322b Beltsville MD 20705-3106 Ph: (202) 843-3537 |
| NPI Number | 1295669562 |
|---|---|
| Provider Enumeration Date | 06/10/2026 |
| Last Update Date | 06/25/2026 |
| Certification Date | 06/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295669562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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