Organization
MSA THE CHILD AND ADOLESCENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN SLUTSKY (OWNER)
(443) 259-0400
Entity
Organization
Contact information
Practice address
10005 OLD COLUMBIA RD, SUITE L260, COLUMBIA, MD 21046-1702
(443) 259-0400
Mailing address
10005 OLD COLUMBIA RD, SUITE L260, COLUMBIA, MD 21046-1702
(443) 259-0400
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC5864
MD
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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