Organization
MOSAIC COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE KESSLER (DIRECTOR OF BILLING)
(410) 453-9553
Entity
Organization
Contact information
Practice address
4510 WHARF POINT CT, BELCAMP, MD 21017-1212
(410) 420-7292
(443) 612-1436
Mailing address
1925 GREENSPRING DR, TIMONIUM, MD 21093-4128
(410) 453-9553
(443) 612-1436
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MH-2042
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH001366
BHA
MD
Enumeration date
07/05/2016
Last updated
01/02/2019
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