Organization
MOSAIC COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KESSLER (DIRECTOR, REVENUE CYCLE)
(410) 382-8111
Entity
Organization
Contact information
Practice address
1925 GREENSPRING DR, TIMONIUM, MD 21093-4128
(410) 453-9553
(443) 612-1488
Mailing address
849 FAIRMOUNT AVE FL 5, TOWSON, MD 21286-2624
(410) 382-8111
(443) 612-1488
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190508574
STATE LICENSE
MD
Enumeration date
12/03/2021
Last updated
11/21/2024
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