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Organization
RIVER BAY BEHAVIORAL HEALTH
Active
Organization
RIVER BAY BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL BRUCE MINTEER LCSW-C (OWNER)
(443) 775-0126
Entity
Organization
Contact information
Practice address
101 LOG CANOE CIR STE F, STEVENSVILLE, MD 21666-2106
(443) 775-0126
Mailing address
101 LOG CANOE CIR STE F, STEVENSVILLE, MD 21666-2106
(443) 775-0126
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20221
MD
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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