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MOSAIC COMMUNITY SERVICES INC NPI 1710466313


NPI Information

NPI: 1710466313
Provider Name: MOSAIC COMMUNITY SERVICES, INC

Doing Business As: SHEPPARD PRATT

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
610 E DIAMOND AVE STE 100
GAITHERSBURG, MD
ZIP 20877
Phone: (301) 840-3200
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MOSAIC COMMUNITY SERVICES, INC is a rehabilitation and substance use disorder clinic center in Gaithersburg, MD. MOSAIC COMMUNITY SERVICES, INC NPI is 1710466313. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sheppard Pratt.

The provider's business location address is:

610 E DIAMOND AVE STE 100
GAITHERSBURG, MD
ZIP 20877-321
Phone: (301) 840-3200

The provider's authorized official is Sue Kessler .
The authorized official title is Director, Revenue Cycle and has the following contact phone number (410) 382-8111.

The enumeration date for this NPI number is 8/14/2018 and was last updated on 1/23/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderMARYLANDYes

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: 5/5/2024

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