Organization
MOSAIC COMMUNITY SERVICES, INC.
Active
Other names
Sheppard Pratt
Organization subpart
No
Provider details
NPI number
Authorized official
SUE KESSLER (DIR, REVENUE CYCLE)
(410) 382-8111
Entity
Organization
Contact information
Practice address
219 W PATRICK ST, FREDERICK, MD 21701-6933
(301) 662-3223
Mailing address
849 FAIRMOUNT AVE FL 5, TOWSON, MD 21286-2624
(410) 382-8111
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1593803
—
MD
Enumeration date
02/09/2022
Last updated
11/30/2022
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