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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
4510 WHARF POINT CT, BELCAMP, MD 21017-1212
(410) 453-9553
Mailing address
849 FAIRMOUNT AVE FL 5, TOWSON, MD 21286-2624
(410) 382-8111
(443) 612-1436
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
—
230814548
MHH BHA LICENSE
MD
Enumeration date
07/03/2016
Last updated
08/04/2023
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