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GRASSROOTS CRISIS INTERVENTION CENTER NPI 1447850656


NPI Information

NPI: 1447850656
Provider Name: GRASSROOTS CRISIS INTERVENTION CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 21D2233526

Address:
8990 OLD ANNAPOLIS RD STE A
COLUMBIA, MD
ZIP 21045
Phone: (410) 531-6006
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GRASSROOTS CRISIS INTERVENTION CENTER is a mental health (including community mental health center) clinic center in Columbia, MD. GRASSROOTS CRISIS INTERVENTION CENTER NPI is 1447850656. The provider is registered as an organization entity type.

The provider's business location address is:

8990 OLD ANNAPOLIS RD STE A
COLUMBIA, MD
ZIP 21045-182
Phone: (410) 531-6006
Fax: (410) 531-1724

The provider's authorized official is Anna T Katz .
The authorized official title is Operations Manager and has the following contact phone number (410) 531-6006.

The CLIA number assigned to this NPI record is 21D2233526 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2020 and was last updated on 4/10/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.