Mine Healthcare Services, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Baltimore, MD. Organization (NPI-2).
NPI number1104603232
StatusActive
Last updated in NPPESOct 3, 2024
Details
- NPI
- 1104603232
- Entity type
- Organization (NPI-2)
- Legal business name
- Mine Healthcare Services, LLC
- Organization subpart
- No
- Enumeration date
- Sep 12, 2023
- Certification date
- Oct 3, 2024
- Last updated
- Oct 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
3421 Benson Ave Ste 200Baltimore, MD 21227-1064
Phone 410-709-1010
Mailing address
3421 Benson Ave Ste 200Baltimore, MD 21227-1064
Phone 410-709-1010
Authorized official
Cynthia Roberson
Program Assistant
2404626947
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