Organization
MENTAL HEALTH REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLINS SCOTT CRNP (OWNER)
(301) 281-3831
Entity
Organization
Contact information
Practice address
7596 HOLLY RIDGE DR, GLEN BURNIE, MD 21060-8713
(301) 281-3831
(410) 431-3078
Mailing address
7596 HOLLY RIDGE DR, GLEN BURNIE, MD 21060-8713
(301) 281-3831
(410) 431-3078
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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