Organization
WAYSTATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA CISNEROS LCPC (BUSINESS MANAGER)
(410) 741-1901
Entity
Organization
Contact information
Practice address
9030 RTE 108, COLUMBIA, MD 21045-1990
(410) 740-1901
(410) 740-2503
Mailing address
9030 RTE 108, COLUMBIA, MD 21045-1990
(410) 740-1901
(410) 740-2503
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC6090
MD
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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