Organization
MPB GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGALIE BREWER PSY.D. (CEO)
(410) 730-2385
Entity
Organization
Contact information
Practice address
5840 BANNEKER RD STE 270, COLUMBIA, MD 21044-3462
(410) 730-2385
Mailing address
5840 BANNEKER RD STE 270, COLUMBIA, MD 21044-3462
(410) 730-2385
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
654700100
—
MD
Enumeration date
05/22/2017
Last updated
07/21/2022
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