| Vintage Behavioral Healthcare Center Llc | |
|
10310 Swift Stream Pl Apt 109 Columbia MD 21044-4881 | |
| (240) 388-9096 | |
| Not Available |
| Full Name | Vintage Behavioral Healthcare Center Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 10310 Swift Stream Pl Apt 109, Columbia, Maryland |
| Authorized Official Name and Position | Elijah Jones (CEO) |
| Authorized Official Contact | 2403889096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vintage Behavioral Healthcare Center Llc 10310 Swift Stream Pl Apt 109 Columbia MD 21044-4881 Ph: (202) 843-3537 | Vintage Behavioral Healthcare Center Llc 10310 Swift Stream Pl Apt 109 Columbia MD 21044-4881 Ph: (240) 388-9096 |
| NPI Number | 1033909775 |
|---|---|
| Provider Enumeration Date | 05/07/2025 |
| Last Update Date | 05/07/2025 |
| Certification Date | 05/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033909775 | NPI | - | NPPES |
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