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
2225 N CHARLES ST, BALTIMORE, MD 21218-5778
(410) 366-4360
(410) 308-8926
Mailing address
PO BOX 45709, BALTIMORE, MD 21297-5709
(410) 453-9553
(410) 308-8926
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
01
—
190205735
MDH LICENSE
MD
Enumeration date
05/28/2010
Last updated
04/03/2024
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