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Organization
MOSAIC COMMUNITY SERVICES, INC
Active
Organization
MOSAIC COMMUNITY SERVICES, INC
Active
Other names
Sheppard Pratt
Organization subpart
No
Provider details
NPI number
Authorized official
SUE KESSLER (DIRECTOR REVENUE CYCLE)
(410) 382-8111
Entity
Organization
Contact information
Practice address
2225 N CHARLES ST, BALTIMORE, MD 21218-5778
(410) 366-4360
(410) 308-8926
Mailing address
PO BOX 45709, BALTIMORE, MD 21297-5709
(410) 453-9553
(410) 308-8926
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190205735
MDH LICENSE
MD
Enumeration date
05/28/2010
Last updated
04/03/2024
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