Organization
WAY STATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN GUY ELCHIN (BILLING DIRECTOR)
(240) 608-3464
Entity
Organization
Contact information
Practice address
1419 MADISON PARK DR FL 1, GLEN BURNIE, MD 21061-5613
(410) 768-2719
Mailing address
PO BOX 3286, FREDERICK, MD 21705-3286
(410) 768-2719
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
09/12/2022
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