Organization
ASSOCIATED CATHOLIC CHARITIES, INC
Active
Other names
Villa Maria Behavioral Health Services of Mountain Maryland PRP, MOUNTAIN MD PRP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIS REEVES (A/R AND BILLING MANAGER)
(667) 600-2249
Entity
Organization
Contact information
Practice address
308 VIRGINIA AVE, CUMBERLAND, MD 21502-4559
(667) 600-2110
Mailing address
2300 DULANEY VALLEY RD, TIMONIUM, MD 21093-2739
(667) 600-2249
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
—
419835200
—
MD
05
—
419835207
—
MD
Enumeration date
01/03/2011
Last updated
01/03/2020
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