Organization · NPI-2
Mosaic Community Services, INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) · Belcamp, MD
NPI number1861844706
StatusActive
Last updated in NPPESAug 4, 2023
Details
- NPI
- 1861844706
- Entity type
- Organization (NPI-2)
- Legal business name
- Mosaic Community Services, INC.
- Organization subpart
- No
- Enumeration date
- Jul 3, 2016
- Certification date
- Aug 4, 2023
- Last updated
- Aug 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Sheppard Pratt (Doing Business As)
Practice location
4510 Wharf Point CtBelcamp, MD 21017-1212
Phone 410-453-9553
Mailing address
849 Fairmount Ave Fl 5Towson, MD 21286-2624
Phone 410-382-8111 · Fax 443-612-1436
Other practice locations
1040 Hardees Dr Ste F
Aberdeen, MD 21001
Aberdeen, MD 21001
Phone 410-273-1399 · Fax 410-273-2085
Authorized official
Sue Kessler
Director, Revenue Cycle
4103828111
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