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Organization

MARYLAND MENTAL HEALTH SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHNNY BARTON LCSW-C (PROGRAM DIRECTOR)
(301) 802-1318
Entity
Organization

Contact information

Practice address
3731 BRANCH AVE, TEMPLE HILLS, MD 20748-1404
(301) 316-4456
(301) 316-4469
Mailing address
3731 BRANCH AVE STE 309AB, TEMPLE HILLS, MD 20748-1404
(301) 316-4456
(301) 316-4469

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7815913-02
MD
Enumeration date
04/04/2018
Last updated
08/16/2024
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