Springboard Community Services | |
44 E Gordon St Bel Air MD 21014-2916 | |
(410) 838-9000 | |
(410) 838-8953 |
Full Name | Springboard Community Services |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 44 E Gordon St, Bel Air, Maryland |
Authorized Official Name and Position | Jessie Costley (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 4103661980 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Springboard Community Services 4623 Falls Rd Baltimore MD 21209-4914 Ph: (410) 366-1980 | Springboard Community Services 44 E Gordon St Bel Air MD 21014-2916 Ph: (410) 838-9000 |
NPI Number | 1063917334 |
---|---|
Provider Enumeration Date | 03/28/2018 |
Last Update Date | 08/13/2020 |
Certification Date | 08/13/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063917334 | NPI | - | NPPES |
132820402 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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