| Woctch Behavioral Health Care | |
|
7902 Logan Run Severn MD 21144-2116 | |
| (770) 906-3430 | |
| Not Available |
| Full Name | Woctch Behavioral Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 7902 Logan Run, Severn, Maryland |
| Authorized Official Name and Position | Rosine Woctchou (PMHNP) |
| Authorized Official Contact | 7709063430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woctch Behavioral Health Care 7902 Logan Run Severn MD 21144-2116 Ph: (770) 906-3430 | Woctch Behavioral Health Care 7902 Logan Run Severn MD 21144-2116 Ph: (770) 906-3430 |
| NPI Number | 1598426645 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 02/21/2023 |
| Certification Date | 02/21/2023 |
| Medicare PECOS PAC ID | 7012390305 |
|---|---|
| Medicare Enrollment ID | O20220819000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598426645 | NPI | - | NPPES |
| Provider Name | Rosine Woctchou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588295182 PECOS PAC ID: 4981097961 Enrollment ID: I20220216000411 |
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