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Organization

MOSAIC COMMUNITY SERVICES, INC.

Active
Other names
Sheppard Pratt
Organization subpart
No

Provider details

NPI number
Authorized official
SUE KESSLER (DIRECTOR, REVENUE CYCLE)
(410) 382-8111
Entity
Organization

Contact information

Practice address
9201 PHILADELPHIA RD, ROSEDALE, MD 21237-4318
(410) 453-9553
Mailing address
PO BOX 45709, BALTIMORE, MD 21297-5709
(410) 453-9553
(443) 659-2429

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
100406
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
418938800
MD
Enumeration date
06/24/2008
Last updated
05/26/2026
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