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Organization
UPMC WESTERN MARYLAND CORPORATION
Active
Organization
UPMC WESTERN MARYLAND CORPORATION
Active
Other names
UPMC Western Maryland, WMHS Behavioral Health Services - Clinc
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE B MARTZ (SR. VP/ CFO)
(240) 649-7376
Entity
Organization
Contact information
Practice address
12502 WILLOWBROOK RD, SUITE 380, CUMBERLAND, MD 21502-6393
(240) 964-8585
(240) 964-8586
Mailing address
PO BOX 1671, CUMBERLAND, MD 21501-1671
(240) 964-8342
(240) 964-8337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
2933
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407340100
—
MD
Enumeration date
08/07/2008
Last updated
03/17/2021
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