Organization
MERCY MENTAL HEALTH AND BEHAVIOR HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHEAL W NETTLES (ADMINISTRATOR)
(301) 237-6373
Entity
Organization
Contact information
Practice address
6215 GREENBELT RD STE 303, BERWYN HEIGHTS, MD 20740-2363
(301) 259-3007
Mailing address
6215 GREENBELT RD STE 303, BERWYN HEIGHTS, MD 20740-2363
(301) 259-3007
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
09/06/2023
Last updated
09/22/2023
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