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CORSICA RIVER MENTAL HEALTH SERVICES, INC.

Ambulatory Health Care Facilities Clinic/Center Adolescent and Children Mental Health

Provider NPI: 1568762599

Organization Information:
Organization Name:  CORSICA RIVER MENTAL HEALTH SERVICES, INC.
Organization is not Subpart
Authorized Official:  JOHN F. PLASKON  EXECUTIVE DIRECTOR  410-758-3050

Practice Location:
933 S TALBOT ST SUITE 4 ST MICHAELS, MD 21663-2604 US
Tel: 410-745-8028  Fax: 410-745-0492

Business Mailing Address:
120 BANJO LN P.O. BOX 718 CENTREVILLE, MD 21617-1002 US
Tel: 410-758-2211  Fax: 410-758-1223

NPI Information:
NPI: 1568762599
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N261QM0855XAmbulatory Health Care Facilities
Clinic/Center
Adolescent and Children Mental Health
Y261QM0850XAmbulatory Health Care Facilities
Clinic/Center

Other Provider Identifiers:

IssuerNumberStateType
4202376 00MD05



American Medical Association 2012 taxonomy code information

Code: 261QM0850X

Type:

Classification:



Definition:



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