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CORSICA RIVER MENTAL HEALTH SERVICES INC. NPI 1992049100


NPI Information

NPI: 1992049100
Provider Name: CORSICA RIVER MENTAL HEALTH SERVICES, INC.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
502 POPLAR ST
CAMBRIDGE, MD
ZIP 21613
Phone: (443) 225-5780
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CORSICA RIVER MENTAL HEALTH SERVICES, INC. is an adult mental health clinic center in Cambridge, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CORSICA RIVER MENTAL HEALTH SERVICES, INC. NPI is 1992049100. The provider is registered as an organization entity type.

The provider's business location address is:

502 POPLAR ST
CAMBRIDGE, MD
ZIP 21613-834
Phone: (443) 225-5780
Fax: (443) 225-5783

The provider's authorized official is John F. Plaskon .
The authorized official title is Executive Director and has the following contact phone number (410) 758-3050.

The enumeration date for this NPI number is 11/12/2012 and was last updated on 1/12/2013.


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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2261QM0850XClinic/CenterAdult Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14214099 00MEDICAIDMARYLAND

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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