| Warwick Manor Behavioral Health, Inc. | |
|
3680 Warwick Rd East New Market MD 21631-1420 | |
| (410) 943-8108 | |
| Not Available |
| Full Name | Warwick Manor Behavioral Health, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3680 Warwick Rd, East New Market, Maryland |
| Authorized Official Name and Position | L. Wesley Fuhrman (PRESIDENT & CEO) |
| Authorized Official Contact | 4109438108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Warwick Manor Behavioral Health, Inc. Po Box 489 Secretary MD 21664-0489 Ph: (410) 943-8108 | Warwick Manor Behavioral Health, Inc. 3680 Warwick Rd East New Market MD 21631-1420 Ph: (410) 943-8108 |
| NPI Number | 1366849903 |
|---|---|
| Provider Enumeration Date | 11/25/2014 |
| Last Update Date | 11/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366849903 | NPI | - | NPPES |
| 408231100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MH-1296 (Maryland) | Primary |