Organization
MAGELLAN HEALTH
Active
Parent organization
IS MAGELLAN HEALTHCARE PROVIDER GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
IS MAGELLAN HEALTHCARE PROVIDER GROUP
Authorized official
DAVID GOLDMAN (CLINICAL DIRECTOR)
(800) 972-0716
Entity
Organization
Contact information
Practice address
6950 COLUMBIA GATEWAY DR, COLUMBIA, MD 21046-2706
(800) 972-0716
Mailing address
6950 COLUMBIA GATEWAY DRIVE, COLUMBIA, MD 21046
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
LC3716
MD
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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