Organization
MOSAIC COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF RICHARDSON CEO (CHIEF EXECUTIVE OFFICER)
(410) 453-9553
Entity
Organization
Contact information
Practice address
234 S BROADWAY, BALTIMORE, MD 21231-2405
(410) 675-4704
(410) 675-4996
Mailing address
1925 GREENSPRING DR, TIMONIUM, MD 21093-4128
(410) 453-9553
(410) 308-8926
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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