Organization
MINE HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ROBERSON (PROGRAM ASSISTANT)
(240) 462-6947
Entity
Organization
Contact information
Practice address
3421 BENSON AVE STE 200, BALTIMORE, MD 21227-1064
(410) 709-1010
Mailing address
3421 BENSON AVE STE 200, BALTIMORE, MD 21227-1064
(410) 709-1010
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
10/03/2024
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