Organization
MOSAIC COMMUNITY SERVICES
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
288 E GREEN ST BLDG AB, WESTMINSTER, MD 21157-5410
(410) 876-3007
(410) 751-7797
Mailing address
PO BOX 45709, BALTIMORE, MD 21297-5709
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371331802
—
MD
Enumeration date
06/11/2008
Last updated
04/12/2024
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