Organization · NPI-2
Mosaic Community Services, INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) · Belcamp, MD
NPI number1629420583
StatusActive
Last updated in NPPESJan 2, 2019
Details
- NPI
- 1629420583
- Entity type
- Organization (NPI-2)
- Legal business name
- Mosaic Community Services, INC.
- Organization subpart
- No
- Enumeration date
- Jul 5, 2016
- Last updated
- Jan 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | MH-2042 | MD | Yes |
Practice location
4510 Wharf Point CtBelcamp, MD 21017-1212
Phone 410-420-7292 · Fax 443-612-1436
Mailing address
1925 Greenspring DrTimonium, MD 21093-4128
Phone 410-453-9553 · Fax 443-612-1436
Authorized official
Sue Kessler
Director Of Billing
4104539553
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