Upper Bay Counseling & Support Services, INC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Cecilton, MD. Organization (NPI-2).
NPI number1144771908
StatusActive
Last updated in NPPESOct 17, 2016
Details
- NPI
- 1144771908
- Entity type
- Organization (NPI-2)
- Legal business name
- Upper Bay Counseling & Support Services, INC
- Organization subpart
- No
- Enumeration date
- Oct 17, 2016
- Last updated
- Oct 17, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
251 S Bohemia AveCecilton, MD 21913-1010
Phone 410-996-5104 · Fax 410-398-3416
Mailing address
200 Booth StElkton, MD 21921-5657
Phone 410-996-5104 · Fax 410-398-3416
Authorized official
Rich Bayer
Ceo
4109965104
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