Organization
MAIN STREET MOBILE TREATMENT ASSOCIATES
Active
Other names
Main Street Community Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMALA RYAN RN (EXECUTIVE DIRECTOR)
(410) 654-6658
Entity
Organization
Contact information
Practice address
37 MAIN ST, REISTERSTOWN, MD 21136-1236
(410) 526-7882
(410) 526-9855
Mailing address
37 MAIN ST, REISTERSTOWN, MD 21136-1236
(410) 526-7882
(410) 526-9855
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
749002000
—
MD
Enumeration date
07/26/2007
Last updated
02/28/2019
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